This article is a reasoned pictorial review illustrating the many faces of thrombotic and embolic disease developing in the cancer patient. From a clinical point of view, we particularly point out the importance of properly identifying this occurrence in its various presentations. From a radiological point of view, special emphasis is given to the wide spectrum of multidetector CT findings, to the clues of benign and malignant thrombus diagnosis, and to the potential interpretative pitfalls.
FennertyA. Venous thromboembolic disease and cancer. Postgrad Med J2006;82:642–8
2.
RosovskyRP, KuterDJ. Catheter-related thrombosis in cancer patients: pathophysiology, diagnosis, and management. Hematol Oncol Clin N Am2005;19:183–202
3.
VogelzangRL, GoreRM, AnschuetzSL, Thrombosis of the splanchnic veins: CT diagnosis. Am J Roentgenol1988;150: 93–6
4.
CuevasC, RaskeM, BushWH, Imaging primary and secondary tumor thrombus of the inferior vena cava: multi-detector computed tomography and magnetic resonance imaging. Curr Probl Diagn Radiol2006;35:90–101
5.
LinJP, LuDS. Early enhancement of tumor thrombus in the portal vein on two-phase helical CT. J Comput Assist Tomogr1996;20:653–5
6.
BierryG, HollN, KellnerF, Venous thromboembolism and occult malignancy: simultaneous detection during pulmonary CT angiography with CT venography. Am J Roentgenol2008;191:885–9
7.
TafurAJ, KalsiH, WysokinskiWE, The association of active cancer with venous thromboembolism location: a population-based study. Mayo Clin Proc2011;86:25–30
8.
WanJF, BezjakA. Superior vena cava syndrome. Emerg Med Clin North Am2009;27:243–55
9.
ThompsonRC, ThibodeauJM, RamzaBM. Computed tomography angiographic demonstration of collateral circulation in superior vena cava syndrome. J Cardiovasc Comput Tomogr2008;2:57–8
10.
TorabiM, HosseinzadehK, FederleMP. CT of nonneoplastic hepatic vascular and perfusion disorders. Radiographics2008;28:1967–82
11.
GladishGW, ChoeDH, MaromEM, Incidental pulmonary emboli in oncology patients: prevalence, CT evaluation, and natural history. Radiology2006;240:246–55
12.
SebastianAJ, PaddonAJ. Clinically unsuspected pulmonary embolism: an important secondary finding in oncology CT. Clin Radiol2006;61: 81–5
13.
FarrellC, JonesM, GirvinF, Unsuspected pulmonary embolism identified using multidetector computed tomography in hospital outpatients. Clin Radiol2010;65:1–5
14.
StortoML, Di CredicoA, GuidoF, Incidental detection of pulmonary emboli on routine MDCT of the chest. Am J Roentgenol2005;184:264–7
15.
KingV, VazeAA, MoskowitzCS, D-Dimer assay to exclude pulmonary embolism in high-risk oncologic population: correlation with CT pulmonary angiography in an urgent care setting. Radiology2008;247:854–61
16.
DíazML, VillanuevaA, HerraizMJ, Computed tomographic appearance of chest ports and catheters: a pictorial review for noninterventional radiologists. Curr Probl Diagn Radiol2009;38:99–110
17.
CatalanoO, de Lutio di CastelguidoneE, SandomenicoC, Central venous device-related thrombosis as imaged with MDCT in oncologic patients: prevalence and findings. Acta Radiol2011;52:148–54
18.
CatalanoO, EspositoM, NunziataA, Multiphase helical CT findings after percutaneous ablation procedures for hepatocellular carcinoma. Abdom Imaging2000;25:607–14
19.
ThomsenHS, MorcosSK. Contrast media and the kidney: European Society of Urogenital Radiology (ESUR) guidelines. Br J Radiol2003;76:513–8