Table 2.
Characteristics of the patients with postoperative VTE.
VTE days after surgery | PE or DVT | Symptomatic | Advanced ACC | Metastasis before surgery | Use LMWH during development VTE | Type of surgery is laparoscopy | Use OCP | Smoking | Functional tumor | Fatal outcome | |
---|---|---|---|---|---|---|---|---|---|---|---|
Case 1 | 4 | PE | Yes | No | No | No, received 2 days postoperative LMWH | Yes | NA, Male | No | Subclinical hypercortisolism | No |
Case 2 | 10 | PE | Yes | Yes | No | No, received 2 days postoperative LMWH | Yes | Yes | Yes | No | No |
Case 3 | 20 | PE | No | Yes | Lung metastasis | Yes, prophylactic dose | No | No | No | Cortisol and androgen production | No |
Case 4 | 28 | PE | Yes | Yes | Lymph metastasis | Yes, prophylactic dose | No | No | No | Overt hypercortisolism | Yes |
Case 5 | 52 | PE | Yes | Yes | No | Yes, therapeutic dose because of tumor thrombus | No | NA, Male | No | Over hypercortisolism | No |
Case 6 | 64 | PE | No | Yes | Liver metastasis | No, received 42 days postoperative LMWH | No | No | No | No | No |
Case 7 | 65 | PE | No | Yes | Lung metastasis | No, received 5 days postoperative LMWH | No | No | No | Cortisol and androgen production | No |
Case 8 | 146 | PE | Yes | Yes | No | Yes, therapeutic dose because of tumor thrombus | No | No | No | Cortisol and androgen production | No |
ACC, adrenocortical carcinoma; DVT, deep venous thrombosis; LMWH, low-molecular-weight heparin; NA, not applicable; OCP, oral contraceptive; PE, pulmonary embolism; VTE, venous thromboembolic events.