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There is increasing recognition of the burden of venous
thromboembolism (VTE) in patients with advanced incurable disease
and the clinical, ethical, and philosophical challenges they may
pose. With a growing elderly population and oncological therapies
helping patients live longer with malignant disease, VTE is likely
to be an ongoing problem. Whilst presentation, diagnosis, and
treatment of VTE in general medicine is well established, its
management within the palliative care setting is less clear-cut.
Clinical presentation is often masked by other palliative symptoms,
and symptoms can be consistent with those of other conditions;
diagnosis is therefore underappreciated, and the condition can be
difficult to manage.
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