Analysis of Coagulation Parameters in Patients with Breast Pathology and Their Possible Relevance to a Hypercoagulable State

 To study the alteration in coagulation parameters such as activated partial thromboplastin time (APTT), prothrombin time (PT), thrombin time (TT), D-dimer and fibrinogen among patients with benign and malignant breast lesions when compared to normal controls.

The present study was a prospective cross-sectional study conducted among 50 cases diagnosed with benign and malignant breast cancer and comparing them with 20 age-matched controls. Coagulation parameters such as PT, TT, APTT, fibrinogen, and D-dimer were collected and compared between the malignant cases, benign cases, and age-matched control groups based on clinical and demographic details, the status of Progesterone receptor, Estrogen receptor, Her2 Neu, side and grading of cancer.

Significant difference was reported with regard to mean age (p=0.0103) between malignant and benign tumor group (p=0.0103). Mean fibrinogen (p<0.001), thrombin time (p=0.007), and D-dimer (p<0.001) between the three groups also showed a statistically significant difference.

Of the biological parameters assessed in the present study; thrombin time, D-dimer and fibrinogen levels show significant differences in patients with benign and malignant breast diseases. This may serve as a biological marker to evaluate the beginning of Cancer-associated venous thrombosis (CAT) in breast cancer patients.