A 50-year-old male with a history of a mucin-producing adenocarcinoma of the pancreas dies after a 6-month course complicated by wasting, bronchopneumonia, and stroke. What is the cause of death ??
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Nonbacterial thrombotic endocarditis often accompanies terminal cancer. This may be a feature of
Trousseau syndrome, a paraneoplastic syndrome with a hypercoagulable state. Although the vegetations are bland
and nondestructive, they are friable and can easily break off and embolize.
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