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Checklist for blood clot risk

Check the box next to any risks below that might apply to you. Share this information with your cancer doctor or healthcare team.

Cancer-related risk factors for blood clots

Type and stage of cancer

  • Cancers that involve the pancreas, stomach, brain, lungs, uterus, ovaries, and kidneys

  • Blood cancers, such as lymphoma and myeloma

  • Recent cancer diagnosis, or cancer diagnosed within the past few months

  • Advanced or late-stage cancer

Type of cancer treatment

  • Hospitalization

  • Surgery

  • Chemotherapy or treatment with hormones

  • Catheters (small tubes placed in veins to administer various treatments)

Other risk factors for blood clots

  • Previous blood clot

  • Family history of blood clots or inherited clotting disorder

  • Hospitalization for illness or major surgery, particularly of the pelvis, abdomen, hip, or knee

  • Broken bone or severe muscle injury

  • Severe physical trauma, such as a motor vehicle accident

  • Serious medical conditions, such as heart and lung diseases, or diabetes

  • Sitting too long, such as traveling for more than 4 hours, especially with legs crossed

  • Other causes of immobility, such as extended bedrest

  • Overweight and obesity

  • Smoking

If any of these risks apply to you, speak with your cancer doctor or healthcare team.
To learn more about blood clots, visit www.stoptheclot.org/spreadtheword.