Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
cave76
First the scary study:
*** Patients with pulmonary embolism who had cancer, congestive heart failure, or chronic lung disease had a higher risk of dying within one year than did other patients with pulmonary embolism***
(N Engl J Med 1992; 326:12405.)
********************************
Then a much more scientifically and larger conducted study:
****Over 100 years ago, Trousseau reported cases of episodic migratory thrombophlebitis in patients with cancer.2 The pathogenic mechanisms for the association include hypercoagulability due to activation of clotting by tumor cells, vessel-wall injury, and stasis.1 Occasionally, the thromboembolic event occurs before the diagnosis of cancer, and it has been suggested that deep venous thrombosis may be a predictor of the subsequent diagnosis of cancer; this idea is controversial, however. Several studies have indicated an association,3-7 but others have not.8,9***
****The existing studies are thus limited in size, and few are population-based, which limits the general applicability of the results.***
***Several small studies have indicated an association between deep venous thrombosis or pulmonary embolism and a subsequent diagnosis of cancer, but the subject is controversial.****
****CONCLUSIONS
An aggressive search for a hidden cancer in a patient with a primary deep venous thrombosis or pulmonary embolism is not warranted.****
http://www.nejm.org/doi/full/10.1056/NEJM199804233381701
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This isn't to say ignore any possible signs of other conditions (cancer included).
But I've seen it happen so often: One study is published and somehow becomes the most quoted one regardless of how sloppy the study was crafted or what agendas the studys authors had behind them. (Like did a cancer hospital fund the study?)
And how many of those patients already had cancer lurking in their body?
*** Patients with pulmonary embolism who had cancer, congestive heart failure, or chronic lung disease had a higher risk of dying within one year than did other patients with pulmonary embolism***
(N Engl J Med 1992; 326:12405.)
********************************
Then a much more scientifically and larger conducted study:
****Over 100 years ago, Trousseau reported cases of episodic migratory thrombophlebitis in patients with cancer.2 The pathogenic mechanisms for the association include hypercoagulability due to activation of clotting by tumor cells, vessel-wall injury, and stasis.1 Occasionally, the thromboembolic event occurs before the diagnosis of cancer, and it has been suggested that deep venous thrombosis may be a predictor of the subsequent diagnosis of cancer; this idea is controversial, however. Several studies have indicated an association,3-7 but others have not.8,9***
****The existing studies are thus limited in size, and few are population-based, which limits the general applicability of the results.***
***Several small studies have indicated an association between deep venous thrombosis or pulmonary embolism and a subsequent diagnosis of cancer, but the subject is controversial.****
****CONCLUSIONS
An aggressive search for a hidden cancer in a patient with a primary deep venous thrombosis or pulmonary embolism is not warranted.****
http://www.nejm.org/doi/full/10.1056/NEJM199804233381701
******************************
This isn't to say ignore any possible signs of other conditions (cancer included).
But I've seen it happen so often: One study is published and somehow becomes the most quoted one regardless of how sloppy the study was crafted or what agendas the studys authors had behind them. (Like did a cancer hospital fund the study?)
And how many of those patients already had cancer lurking in their body?
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Simply put right now I cannot tell you the number of tests that I have been through (although you all have probably been through the ringer as well!). Once they decided that I did not have the typical risk factors for PE, then it was Well you might have an abdominal/pelvic malignancy so we are going to do a abdominal/pelvic CT, then it was we saw "something" on your UA so lets collect it for 24-hours and then do a renal biopsy if it is still there. Because I had a little chest pain/twinge after being discharged the doctor decided they needed to do a nuclear stress test (because of course you can't do the treadmill portion) - boy was that a load of fun. Then is was well let's do a PFT. I just feel like I am being bombarded with "you might have...so let's do this now." I really just want one week of not worrying about aching legs, DTVs when I am in the car for more than 30 minutes, oh is that chest pain another PE?, coumadin clinic visits and what recipe will I take this week, blood draws - lots and lots of blood draws - is it any wonder I'm anemic...haha, and just for good measure lets talk cancer! Sorry if I sound like I'm venting - I'm really not. It is just that I can say all of this here and everyone gets it :)
My hematologist even went so far yesterday to tell me to have a mole removed from my abdomen (that I have had since I was a child). Since he is an oncologist as well I have to wonder if he just gravitates to cancer as the answer to all situations...?
I admit that I don't really care for him and I am seriously thinking about a second opinion once all my blood work is done.
OK I'm done LOL - thanks for listening everyone. Just ranting sometimes makes all the difference! Hugs to all my new found friends :)
I went through this with Lyme disease---- a few years of venting to online 'friends' and almost no help from doctors.
That's why I encourage everyone to post the 'bad' stuff with the good stuff (on ALL forums) -----if only to let someone who doesn't post silently nod their head in agreement.
They found an adrenal adenoma (spot on my adrenal glands) when doing my CT. I've had it re-checked a couple of times and it doesn't seem to be growing or doing anything that indicates it is dangerous. No one seems too concerned, which is a good thing.
Hang in there! Let us know how it turns out. We're all pulling for you.
I had a CT scan last year due to my ulcerative colitis Happened to find unrelated lesion on my liver and on my spleen during that. Radiologist report said it's not consistent with a malignancy but recommends repeat scan in 6 months to see if there are changes. Talked to my GI doc and he said most people walk around with goofy stuff like this in their bodies and live a long life never knowing. After discussing it with him more, I'm foregoing another CT scan to re check, and he's in agreement with me. I don't want to do another CT scan unless absolutely necessary and frankly, I'm so done worrying about worrying.
Anyway, I'm really hoping your situation is similar, that it's just a weird little harmless thing in your body that just needs to be checked on periodically.
Future scans showed no growth. My liver function tests are always spot-on.
Here's something I posted on another thread that hockeymom started:
Did the report on your CT scan have the word 'Bosniak' in it?
"the Bosniak renal cyst classification system was created. It's divided in four categories"
Or did it mention 'simple cyst' vs 'complex cyst'?
Waiting to see if the cyst grows is an important part of diagnosing a renal cyst---- even though it's tough on the patient, emotionally!
To try to ease your mind a bit----- it's very common to have cysts on the kidneys and most of them, if not large/complex ones are almost always benign. (The CT would have shown if the cyst was large/complex enough to warrant action immediately, I'd imagine.)
"Kidney cysts are almost always benign (not cancerous). Usually, the cysts don't cause any problems. In fact, people can go through life without even knowing that they have them."
"Up to 50 percent of people older than 50 years of age have kidney cyst"
(I don't know how old you are----- (grin)
p.s. I think your heme/onc doctor may be worrying you a bit unnecessarily. I'm glad you're seeing a specialist for evaluation.
But your heme/onc doc may be just playing it safe........
Unless you have a family history of renal cysts or kidney disease---- I'm betting the cyst is benign.