Venous thromboembolism (VTE) is common in patients with malignancy and carries a high risk of morbidity and mortality. Approximately 15% of cancer patients will develop symptomatic VTE, and VTE is the second leading cause of death among hospitalized cancer patients. The risk of VTE is increased by certain tumor types, advanced stage, chemotherapy, and surgery. The pathophysiology involves stasis, endothelial injury, and a hypercoagulable state induced by tumor-derived procoagulants and cytokines. Prevention includes pharmacological prophylaxis with low molecular weight heparin for high-risk patients. Treatment of VTE involves initial parenteral anticoagulation followed by long-term therapy typically