Venous thromboembolism in cancer patients: ESMO Clinical Practice Guideline
A Falanga 1 , C Ay 2 , M Di Nisio 3 , G Gerotziafas 4 , F Langer 5 , R Lecumberri 6 , M Mandala 7 , A Maraveyas 8 , I Pabinger 2 , L Jara-Palomares 9 , M Sinn 5 , K Syrigos 10 , A Young 11 , K Jordan 12 ; ESMO Guidelines Committee
Thromboembolism in people with cancer still remains a major health problem and figures as a leading cause of mortality after cancer itself, despite being a largely preventable disease. A hypercoagulable state is the hallmark of cancer. It is induced by specific prothrombotic properties of cancer cells that activate blood clotting, as schematically depicted in Figure 1.
These properties include the expression and release of procoagulant molecules, the activation of host blood and vascular cells (i.e. platelets, leukocytes and endothelial cells), which enhances their procoagulant potential, and the activation of the endothelium by anti-cancer drugs.
CITA DEL ARTÍCULO Ann Oncol. 2023 May;34(5):452-467. doi: 10.1016/j.annonc.2022.12.014. Epub 2023 Jan 10.