Administration of estrogen as a treatment of patients with prostatic carcinoma has been correlated with an increase in the frequency of cardiovascular complications. The purpose of the present autopsy investigation was to study the incidence of pulmonary embolism, and to ascertain whether any relationship existed between this incidence and estrogen treatment. Reports of autopsies and clinical records of patients with prostatic cancer in all stages who died at the Malmö General Hospital from 1973 to 1982 were individually reviewed. The incidence of pulmonary embolism serious or not serious was recorded. Thromboembolic risk factors have been registered: stage of the tumor, other malignant disease, age and weight of the patient, duration of bed rest and operation before death, and, finally, type and duration of estrogen treatment. The role of treatment with diethylstilbestrol diphosphate as a thromboembolic risk factor will be discussed.

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