Management of Bleeding Complications in Patients with Cancer

Shruti Chaturvedi, MD

Clinical Fellow, Division of Hematology and Oncology, Vanderbilt-Ingram Cancer Center/Vanderbilt University Medical Center, Nashville, TN

Michael R. Savona, MD

Associate Professor of Medicine, Division of Hematology and Oncology, Vanderbilt-Ingram Cancer Center/Vanderbilt University Medical Center, Nashville, TN

Question 1

A 67-year-old man receiving chemotherapy for metastatic pancreatic cancer presents with complaints of fatigue and exertional dyspnea and is found to be anemic, with a hemoglobin level of 8.9 g/dL. Iron studies show a serum iron level of 21 μg/dL , serum ferritin 180 ng/mL, and transferrin saturation 20%.

What is the best treatment strategy for this patient?

  •   Transfusion of packed red blood cells
  •   Oral iron supplements
  •   Epoetin
  •   Epoetin with intravenous iron
  •   Stop chemotherapy

Updated 2/23/2015 • jdw | Copyright ©2017 Turner White Communications