Abstract
To the Editor. —We read with interest the article by Goldberg et al 1 in the February 1987 issue of theArchivesin which the association between occult malignant neoplasm and deep venous thrombosis (DVT) was reviewed, along with the accompanying editorial. 2 We agree with Goldhaber et al 2 in the desirability of a careful screening among patients with DVT. Our experience appears to confirm the need for careful screening. Since January 1985, we have studied 104 consecutive patients who were admitted because of a deep-vein thrombosis of the lower limbs. The diagnosis of DVT was always established by bilateral phlebography. In 37 patients, the DVT developed shortly after a surgical procedure or a bone fracture, and, in 20 patients, after bed rest for more than eight days. Among the remaining 49 patients, ten had previously diagnosed cancer, six had a history of pulmonary embolism or DVT, six had
Published Version
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