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Should patients with venous thrombosis have cancer screening? Thrombus, Volume 13, Number 1.
Ten per cent of patients with idiopathic venous thromboembolism (VTE) will have underlying occult malignancy, and there is a threefold increased risk of new cancer diagnosis in the months following VTE diagnosis.1–8 Where occult cancer is present, it is metastatic in 40–60% of cases. The issue of whether or not to screen patients with acute VTE for occult cancer at diagnosis is controversial, and there is no consensus on how extensive any screening programme should be. Few studies have addressed the cost, safety, psychological stress and health benefits associated with extensive screening strategies.
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