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Coagulation tests show significant differences in patients with breast cancer
Faruk Tas1, Leyla Kilic, Derya Duranyildiz
1Institute of Oncology, University of Istanbul, Capa, 34390, Istanbul, Turkey, faruktas2002@yahoo.com.
Summary
Blood coagulation tests reveal significant differences in breast cancer patients compared to controls. Elevated D-dimer levels correlate with metastatic disease and older age in breast cancer.
Area of Science:
- Oncology
- Hematology
- Biochemistry
Background:
- Coagulation and fibrinolysis are activated in cancer patients, linked to tumor stroma and metastasis.
- Understanding these systems in breast cancer is crucial for prognosis and treatment.
Purpose of the Study:
- To investigate the correlation between blood coagulation assays and clinicopathologic factors in breast cancer patients.
- To identify potential biomarkers for breast cancer progression and metastasis.
Main Methods:
- A cohort of 123 treatment-naïve female breast cancer patients was studied.
- Pretreatment coagulation tests (PT, APTT, PTA, INR, D-dimer, fibrinogen, platelet count) were evaluated.
- Coagulation parameters were analyzed against clinicopathologic factors like age, tumor stage, and metastasis.
Main Results:
- Coagulation tests (except PT) showed significant differences between breast cancer patients and controls.
- Higher D-dimer levels were associated with older age (>50 years) and metastatic breast cancer.
- Advanced tumor stage (T3/T4) correlated with higher INR and lower PTA.
Conclusions:
- Blood coagulation assays demonstrate significant alterations in breast cancer patients.
- Specific coagulation markers may serve as indicators for disease progression and metastatic potential in breast cancer.

