Thrombo-embolic complications related to hormone therapy of breast cancer - a case report
Journal Title: OncoReview - Year 2013, Vol 3, Issue 1
Abstract
69-year old female with breast cancer treated with surgery (total mastectomy) and cheamo- and radiotherapy, with cancer in right breast operated last year, with further hormone therapy with tamoxifen, suffered from low risk pulmonary embolism. She was treated with streptokinase which was complicated by intracerebral bleeding. The patient was referred to the neurosurgeon and conservative treatment was ordered. Than she was transferred to Department of Pulmonary Circulation and Thromboembolic Diseases, ECZ Otwock where vena cava filter was implanted as prevention of recurrence pulmonary embolism. Progression of deep venous thrombosis associated with thrombosis in vena cava filter and the ”resistance” to treatment using enoxaparin was observed. The inclusion of unfractionated heparin in continuous intravenous infusion, withdrawal of tamoxifen and intensification diuretic therapy has improved patient’s status and allowed discharge from hospital.
Authors and Affiliations
Szymon Darocha, Sebastian Szmit, Łukasz Kownacki, Marcin Kurzyna
Keywords
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