A 57-year-old woman with metastatic pancreatic cancer has incidental segmental PE on staging CT. She is asymptomatic, platelet count is 170 x 10^9/L

Question

A 57-year-old woman with metastatic pancreatic cancer has incidental segmental PE on staging CT. She is asymptomatic, platelet count is 170 x 10^9/L and creatinine clearance is 75 mL/min. What is the most appropriate management?

Accepted Answer

Offer therapeutic anticoagulation unless bleeding risk outweighs benefit

Answer

Inferior vena cava filter as first-line treatment

Answer

Thrombolysis because cancer-associated PE is high risk

Answer

No anticoagulation because the PE is incidental

Answer

Aspirin alone until symptoms develop

Cancer-associated pulmonary embolism — SCE Respiratory MCQ

A 57-year-old woman with metastatic pancreatic cancer has incidental segmental PE on staging CT. She is asymptomatic, platelet count is 170 x 10^9/L and creatinine clearance is 75 mL/min. What is the most appropriate management?