Review Article

Arterial and Venous Thrombosis in Cancer Patients

Table 1

Virchow’s triad in cancer.

Abnormal blood flow
 (i) Increased plasma viscosity [114, 115]
 (ii) Increased stasis due to immobility (e.g., being bed-bound, in a wheelchair)

Abnormal blood constituents
 (i) Increased platelet activation and aggregability, for example, increased soluble P selectin, beta thromboglobulin [1551]
 (ii) Loss of haemostasis with increase in procoagulants for example, increased fibrinogen, cancer procoagulant, PAI-1 [6689]

Abnormal blood vessel wall
 (i) Damaged or dysfunctional endothelium (e.g., increased soluble E selectin, increased soluble thrombomodulin, possibly also related to chemotherapy) [9597]
 (ii) Loss of anticoagulant nature and therefore acquisition of a procoagulant nature (e.g., increased von Willebrand factor, tissue factor, reduced tPA, possibly also related to chemotherapy) [83, 93, 94]
 (iii) Angiogenesis (altered release of, and response to, growth factors) [101107]