Tumor lysis syndrome
نویسندگان
چکیده
Introduction. Tumor lysis syndrome is an emergency condition requiring prompt recognition and treatment. It?s a consequence of spontaneous or therapy-induced cellular death leading to the release intracellular ions metabolic products purine bases into bloodstream. Pathophysiology. The characteristic derangement comprises hyperkalemia, hyperphosphatemia, hyperuricemia, hypocalcemia. These changes can lead kidney failure, arrhythmia, seizures. Epidemiology, classification risk assessment. incidence tumor varies between different types tumors, but it most common in hematologic malignancies. According Cairo - Bishop Classification, be defined as laboratory clinical syndrome. Preventive measures treatment Frequent monitoring obligatory patients with intermediate high are based on vigorous hydration administration medication control serum uric acid levels. When develops, additional treatment, including renal replacement therapy, needed for correction disturbances. Conclusion. potentially fatal complication suffering from Early at prophylactic therapeutic improves outcomes these patients.
منابع مشابه
Tumor Lysis Syndrome
Hospital Physician September 2008 25 T umor lysis syndrome (TLS) is a collection of metabolic abnormalities that occur as a result of the release of intracellular contents following lysis of malignant cells, typically after initiation of chemotherapy. The features of TLS include hyperphosphatemia, hyperuricemia, hypocalcemia, hyperkalemia, and acute kidney injury. These features are observed wh...
متن کاملSpontaneous Tumor Lysis Syndrome
Tumor lysis syndrome (TLS) is a known complication of malignancy and its treatment. The incidence varies on malignancy type, but is most common with hematologic neoplasms during cytotoxic treatment. Spontaneous TLS is thought to be rare. This case study is of a 62-year-old female admitted with multisystem organ failure, with subsequent diagnosis of aggressive B cell lymphoma. On admission, labo...
متن کاملThe tumor lysis syndrome.
From the Department of Oncology and International Outreach Program, St. Jude Children’s Research Hospital (S.C.H., C.-H.P.), and the Department of Pediatrics, University of Tennessee Health Sciences Center, College of Medicine (S.C.H., D.P.J., C.-H.P.) — both in Memphis. Address reprint requests to Dr. Howard at St. Jude Children’s Research Hospital, 262 Danny Thomas Place, Barry-Longinotti Bld...
متن کاملOncologic Emergencies: Tumor Lysis Syndrome
The tumor lysis syndrome (TLS), characterized by hyperkalemia, hyperuricemia, hyperphosphatemia and secondary hypocalcemia, is a consequence of treatmentinduced or spontaneous tumor cell death. It usually occurs a few hours to a few days after commencing cytotoxic chemotherapy for tumors with a high percentage of proliferating and drug-sensitive cells. Cell death leads to the release of potassi...
متن کاملOnco-nephrology: tumor lysis syndrome.
Tumor lysis syndrome (TLS) describes the clinical and laboratory sequelae that result from the rapid release of intracellular contents of dying cancer cells. It is characterized by the release of potassium, phosphorous, and nucleic acids from cancer cells into the blood stream, with the potential to cause hyperkalemia; hyperphosphatemia and secondary hypocalcemia; hyperuricemia; AKI; and, shoul...
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ژورنال
عنوان ژورنال: Medicinski Pregled
سال: 2022
ISSN: ['0025-8105', '1820-7383']
DOI: https://doi.org/10.2298/mpns22s1157p