Doctor insights on:
Endometrial Cancer And Pulmonary Embolism
Yes: Certain cancers may have more risk (pancreatic, ovarian and lung cancers), because they might increase certain chemical substances in body or secret them to increase the blood clot formation. Also chemo may increase the risk as well. Immobility in people with advanced cancer can be another risk. Damage to the blood vessel walls from the cancer or even from treatment may be a risk. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
What is the risk of cancer after unprovoked pulmonary embolism? Would you be symptomatic after the discovery of the clot?
Other way around: Patients who have underlying cancer have a higher risk of developing pulmonary embolism than the normal population. The mechanism is not well understood, but it is thought that certain cancers can lead to a hyper-coagulable state, which increases the risk of pulmonary embolism. This does not mean that people without known cancers who develop pulmonary embolism should be screened for cancer. ...Read more
Will my mom, who has lung cancer, have a higher chance of getting a pulmonary embolism on a flight?
I just had an angio pulmonary cat scan with contrast to rule out a pulmonary embolism. Can that detect lung cancer? Chest xray normal. 42 years old.
Yes,: That type of CT can detect lung cancer. Tiny nodules 2mm or less can potentially be detected. There are benign causes for nodules as well, so although CT is good at finding nodules, and possibly assigning a reasonable probability of malignancy based on certain imaging features, CT cannot make a definitive diagnosis of cancer. ...Read more
I am a 21 y/o M taking warfarin due to an episode of Pulmonary Embolism. My INR levels fluctuate from 1.4-3.5.At what higher level do I visit d ER?
Rare: Since most 20 year olds are quite active, deep venous thrombosis is rare and this is usually the underlying cause of a pulmonary embolus. Conditions that would contribute to increased risk would be smoking, severe inactivity, obesity, and some hypercoaguable states - in which the risk of blood clotting is significantly increased. ...Read more
Depends: If the cause is a onetime event such as surgery, or oral contraceptives. The chance for recurrence diminishes when the offending agent is removed. The risk for recurrent pulmonary embolism is increased. However if you have atrial fib, chronic venous disease of the legs, cancer or a genetic predisposition to clot. Also patients who have idiopathic events have increased recurrence. ...Read more
Can be very bad: Depends on the size, and the patients reserve (ability to handle it). ...Read more
Why not treat it?:
Pulmonary emboli are not things to be ignored or not treat. This is something that a medical professional needs to treat with usually blood thinners.
If there is a reason to not give blood thinners, then there still may be other things to do to minimize or prevent the risk of future clots. ...Read more
Quite uncommon: Especially in your 20s unless there is a predisposing factor ...Read more
What is a pulmonary embolism? What is a pulmonary embolism, what causes it, and what can I do to diminish my risks?
Clot in lungs: Blood clots forming in leg vains and pelvic veins can travel to lungs causing pulmonary embolism. The way to avoid it is to stay active and prevent long periods of inactivity. Active dorsi and plantar flexion of feet should keep calf muscles pumping blood out of legs and prevent pe. ...Read more
Definitely can be!: More people die each year from Pulmonary embolism (PE) than highway fatalities, breast cancer & AIDS combine. PE causes or contributes to 15% of all hospital deaths. Due to pulmonary arterial obstruction, PE can result in acute right ventricular failure, a life-threatening condition. Since most patients tend to die within the first hrs of presentation, early diagnosis & treatment can be life saving ...Read more
Pulmonary embolism: Coughing up blood occurs in some patients with pulmonary embolism. Treatment, if any, is determined by the amount of blood, and whether it continues, whether there are other concerns about the underlying lung, and is considered along with the blood thinners used to treat the blood clot in the lung. ...Read more
This is common: This is common. The best thing you can do is to make sure that you are thoroughly evaluated for causes. I would consult with a hematologist to make sure you do not have a thrombophilia, one a a number of clot forming disorders and find out what you can do about preventing possible future clots. I have three thrombophilias. Be proactive and think preventively. If that does not help see a psychologist. ...Read more
Not realy very: Ventilation/perfusion scan (v/q scan or lung scintigraphy), which shows that some areas of the lung are being ventilated but not perfused with blood (due to obstruction by a clot). This type of examination is used less often because of the more widespread availability of ct technology, however, it may be useful in people who have an allergy to iodinated contrast or in pregnancy. Thanks. ...Read more
Palpitations or irregular heart rhythm may be associated with PE but are also associated with may other things, many of which are benign. Usually there is some other symptom such as chest pain, sweating, shortness of breath or air hunger.
A PE is unusual in a young active person who has not had trauma or surgery ...Read more
Have you seen a Doc?: Classic presentation of pulmonary embolism is a sudden onset of pleuritic chest pain (pain with breathing/cough); & shortness of breath. Unfortunately, PE may have no obvious symptoms at presentation & that's why it's considered a silent killer! While, symptoms may vary from abrupt catastrophic hemodynamic collapse to gradually progressive dyspnea, pain that comes and goes would be atypical. ...Read more
Depends on severity: Very severe pe needs to be treated with clot dissolving drugs. This can be done by IV in some instances, others require that a catheter be placed into the clot to deliver the drug directly. Less severe pe can be treated by "thinning" your blood with anticoagulation drugs. This prevents more clot from forming and allows your body to dissolve the clot through nature pathways. ...Read more
Very low possibility:
It is a very good test to rule out PE but there is always a chance to miss PE with test; but low likelihood to have PE if test is neg.
One study showed that the sensitivity of the D-dimer ELISA for acute PE was 96.4% negative predictive value was 99.6% --this all means is a very good test. ...Read more
?: An odd question. Either you're in the hospital, very ill, and not the author of this question, or you're asking out of curiosity? That combination is what one may see in someone who is about to die of a pulmonary embolism. ...Read more
Usually a blood clot that migrates from one area of the body to another. Most commonly a clot from a leg vein to the lung. It can also pertain to a clot, or atheromatous material that moves from one segment to another, such as cholesterol material in a carotid lesion moving into the ...Read more