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Letters |15 July 1996

Thrombocytosis Associated with Low-Molecular-Weight Heparin

David A. Rizzieri, MD; Wendy M. Wong, PharmD; John P. Gockerman, MD

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  • Duke University Medical Center, Durham, NC 27710
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TO THE EDITOR:
A 67-year-old woman with adrenal cortical carcinoma had nephrectomy, adrenalectomy, inferior vena cava thrombectomy, splenectomy, and liver wedge biopsy. Surgical margins were clear of tumor, but examination of a liver biopsy specimen showed the presence of cancer. Four months after these procedures were done, scans of the abdomen showed progressive disease in the liver. The patient was then referred for chemotherapy. While hospitalized, she experienced acute shortness of breath during the first cycle of cisplatin and etoposide. Spiral computed tomography showed a tumor and bilateral pulmonary thrombus. Therapy with low-molecular-weight heparin was initiated, and the patient's platelet...
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Rizzieri DA, Wong WM, Gockerman JP. Thrombocytosis Associated with Low-Molecular-Weight Heparin. Ann Intern Med. 1996;125:157. doi: 10.7326/0003-4819-125-2-199607150-00031

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Published: Ann Intern Med. 1996;125(2):157.

DOI: 10.7326/0003-4819-125-2-199607150-00031

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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