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Hypercoagulability and cancer: a thrombin generation analyser role

Results of a recent clinical study using a fully automated, standardised thrombin generation analyser have shown that it is possible to identify breast cancer patients who are at high risk of disease recurrence.

A diagnosis of cancer increases the risk of venous thromboembolism (VTE) for all patients, accounting for up to 20% of cases,1 with thrombosis the second leading cause of death after the disease itself.2,3

            Breast cancer is the most common malignant disease worldwide, with women facing a three- to four-fold increased risk of VTE compared to those of the same age without the disease.4 Cancer-associated hypercoagulability is also linked to a greater chance of early disease recurrence (E-DR).5 Survival too is reduced,6 even when prognosis would otherwise be relatively good.

            One imperative for clinical research has been to find more accurate prognostic cancer biomarkers, especially for high-risk patients. A recent prospective study charts significant progress in E-DR by validating the role of thrombin generation (TG), and its measurement, when using the fully automated, standardised TG analyser, Stago’s ST Genesia.7,8

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