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Thromboembolic Events after Surgery for Localized Prostate Cancer: Incidence, Risk Factors, and Survival Outcomes.

Yongho Noh1,2, Hyunkyung Park3, Dong-Yeop Shin2

  • 1Devision of Hematology and Oncology, Department of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea.

Clinical and Applied Thrombosis/Hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
|May 23, 2026
PubMed
Summary

Thromboembolism (TE) incidence is low in localized prostate cancer patients undergoing surgery. However, venous thromboembolism (VTE) independently predicts worse survival, suggesting targeted thromboprophylaxis for high-risk individuals.

Keywords:
East Asian peoplelocalized prostate cancerprostatectomysurvival outcomethromboembolismvenous thromboembolism

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Area of Science:

  • Urology
  • Oncology
  • Vascular Medicine

Background:

  • Thromboembolism (TE) incidence is lower in prostate cancer than other malignancies.
  • TE sequelae are linked to increased mortality.
  • Investigating TE in localized prostate cancer patients undergoing surgery is crucial.

Purpose of the Study:

  • To determine the incidence of TE and venous thromboembolism (VTE) in Asian patients with localized prostate cancer.
  • To identify risk factors for TE and VTE in this population.
  • To assess the impact of TE and VTE on survival outcomes.

Main Methods:

  • Single-center retrospective cohort study.
  • Analysis of 4,880 localized prostate cancer patients who underwent surgical resection.
  • Evaluation of TE, VTE, survival outcomes, and clinical variables.

Main Results:

  • 3-month TE incidence was 0.33%; 2-year TE incidence was 0.81%.
  • Older age (≥75) and elevated C-reactive protein were significant risk factors for TE.
  • Older age and pathological venous invasion were significant risk factors for VTE.
  • VTE occurrence, older age, diabetes history, and high Gleason scores (≥8) were associated with poor survival.

Conclusions:

  • TE incidence is low in East Asian localized prostate cancer patients undergoing surgery.
  • VTE is an independent predictor of worse overall survival in this cohort.
  • Pharmacological thromboprophylaxis should be reserved for high-risk TE patients; mechanical measures may suffice for low-risk patients.