Evaluation of the coagulation system in patients with thrombotic complications under oncopathology

Authors

  • P. Ya. Bodnar I. Horbachevsky Ternopil National Medical University
  • I. M. Klishch I. Horbachevsky Ternopil National Medical University
  • A. D. Bedeniuk I. Horbachevsky Ternopil National Medical University
  • Ya. Ya. Bodnar I. Horbachevsky Ternopil National Medical University
  • T. V. Bodnar I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.1.12915

Keywords:

coagulation system, venous thrombosis, cervical tumors

Abstract

The aim of the work: to study the changes in blood hemostasis in patients with cervical tumors.

Materials and Methods. We examined 24 women who were divided into control group (I) – 9 patients with morphologically verified cervical tumors and group II – 15 patients who, along with morphologically verified cervical tumors diagnosed with thrombotic complications to study the indicators of hemostasis, who were being treated at Ternopil University Hospital.

Results and Discussion. The results of the study indicate that in group I of patients there were critical levels of hemostasis, which indicates the activation of the coagulation system. When comparing groups of patients in group II, a decrease in thrombin time (p <0.01), activated partial thromboplastin time (p <0.005) and prothrombin time (p <0.005) was statistically significant, indicating hypercoagulation. In the analysis of fibrinogen A and prothrombin index there was a statistical increase (p <0.01), which indicates a tendency to thrombosis with a risk of thromboembolic complications. Increased levels of level of soluble fibrin-monomer complexes (p <0.01), explain the activation of the blood coagulation system, as the latter are markers of thrombinemia in intravascular coagulation. D-dimer levels in patients with thrombosis are significantly higher than in patients without thrombosis

References

Abad Rico, J.L., Llau Pitarch, J.V., & Rocha, E. (2010) Overview of venous thromboembolism. Drugs, 70 (2), 3-10.

Caprini, J.A. (2013). Thrombotic risk assessment: A hybrid approach. Retrieved from: https://www.venousdisease.com /Publications/ JACaprini-HybridApproach3-10-05.pdf.

Bodnar, P. Ya. (2021) Ryzyk vynyknennia tromboziv onkohinekolohichnykh khvorykh z riznoiu lokalizatsiieiu pukhlynnoho protsesu na foni profilaktychnoi terapii [Risk of thrombosis in patients with gynecological cancers of varying extent]. Aktualni problemy suchasnoi medytsyny – Current Problems of Modern Medicine, 2 (74), 8-12 [in Ukrainian].

Mbatchou Ngahane, B.H. (2019). Epidemiology, clinical and paraclinical presentations of pulmonary embolism: A cross-sectional study in a sub-Saharan Africa setting. Open J. Respir. Dis., 9 (3), 89-99. DOI: 10.4236/ojrd.2019.93008.

Liu, S.-H., Wang, J.-J., Chen, W., Pan, K.-L., & Su, C.-H. An examination system to detect deep vein thrombosis of a lower limb using light reflection rheography. Sensors (Basel), 21 (7), 2446. DOI: 10.3390 21072446.

Almotairi, Y.M. (2017). Relation between air travel and venous thromboembolism. J. Med. Sci. Clin. Res. 5 (3), 18393-18403. DOI: 10.18535/jmscr/v5i3.21.

Graul, A., Latif, N., Zhang, .X, Dean, L.T., Morgan, M., & Giuntoli, R. (2017) Incidence of venous thromboembolism by type of gynecologic malignancy and surgical modality in the national surgical quality improvement program. Int. J. Gynecol. Cancer, 27 (3), 581-587.

Bodnar, P., Bodnar, Y., Bodnar, T., Soroka, Y., & Bodnar, L. (2021) Histological changes in muscules during the lower extremites thrombosis in individuals with gastrointestinal tract cancer. International Journal of Pharmaceutical Research and Allied Sciences, 10 (3), 15-19 DOI: 10.51847/jybzkxksc1

Bodnar, P., Bodnar, Y., Bodnar, T., Bodnar,, L., & Hvalyboha, D. (2021) Justification of using computed tomography and magnetic resonance imaging for deep venous thrombosis and pulmonary embolism. International Journal of Online & Biomedical Engineering, 17 (14), 119-134. DOI: 10.3991/ijoe.v17i14.26577

Rizzo, J.D., Brouwers, M., & Hurley, P. (2010) American Society of Hematology. American Society of Clinical Oncology clinical practice guideline update on the use of epoetin and darbepoetin in adult patients with cancer. Blood. 116, 4045-4059.

Bodnar, P. Ya. (2021) Otsinka yakosti zhyttia onkohinekolohichnykh khvorykh pislia provedenoi histerovariektomii, asotsiiovanoi z trombotychnymy uskladnenniamy [Assessment of the quality of life of oncological patients following hysterovariectomy associated with thrombotic complications]. Ukrainskyi zhurnal medytsyny, biolohii ta sportu – Ukrainian Journal of Medicine, Biology and Sports,3 (31), 156-161 [in Ukrainian].

Ludwig, H., Van, B.S., & Barrett-Lee, P. (2004). The European Cancer Anaemia Survey (ECAS): a large, multinational, prospective survey defining the prevalence, incidence, and treatment of anaemia in cancer patients. Eur. J. Cancer, 40, 2293-2306.

Dvorak, H., Colman, W., Hirsh, J., Marder, V., & Salzman, E. (1994) Abnormalities of haemostasis in malignant disease. Haemostasis and Thrombosis. 3rd edition. Philadelphia: Lippincott. 1238-1254.

Published

2022-05-20

How to Cite

Bodnar, P. Y., Klishch, I. M., Bedeniuk, A. D., Bodnar, Y. Y., & Bodnar, T. V. (2022). Evaluation of the coagulation system in patients with thrombotic complications under oncopathology. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 32–35. https://doi.org/10.11603/2414-4533.2022.1.12915

Issue

Section

ORIGINAL INVESTIGATIONS