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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2013, Número 2

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Rev Invest Clin 2013; 65 (2)


Tratamiento de cáncer y trombosis: enfoque práctico

Cesarman-Maus G, Meillón L, Volkow P, Vargas-Ruiz ÁG, Cornejo P, OLópez-Navarro O, Cruz MM, Coronel O, García-Fernández L, Ochoa-Carrillo FJ, Siñani M, Baz P, Izaguirre R

Idioma: Español
Referencias bibliográficas: 58
Paginas: 174-182
Archivo PDF: 155.42 Kb.


RESUMEN

Los individuos con cáncer tienen mayor riesgo de desarrollar enfermedad tromboembólica venosa. La prevalencia depende de factores relacionados con la neoplasia, como el tipo histológico, el estadio, el empleo de catéteres venosos centrales, el tratamiento con quimioterapia o radioterapia, el tipo de cirugía, así como factores protrombóticos generales que incluyen edad, inmovilización, obesidad, trombofilias hereditarias y comorbilidades. El tratamiento de individuos con trombosis venosa debe ser personalizado e integral y depende tanto del riesgo de trombosis como de hemorragia. En esta revisión se actualizan conceptos que han cambiado sustancialmente en los últimos años, como la indicación de reposo absoluto en pacientes con trombosis reciente o de dietas libres en alimentos verdes. Se proponen estrategias terapéuticas basadas en evidencia sobre los problemas clínicos encontrados con mayor frecuencia en pacientes con cáncer y trombosis.


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