Spontaneous tumorlysissyndrome (STLS) during biopsy for burkitt lymphoma: a case report. Tumorlysissyndrome (TLS) is a hematologic oncological emergency characterized by metabolic and electrolyte imbalances. On breakdown of tumor cells, enormous amounts of potassium, phosphate, and nucleic acids are released into systemic circulation. TLS mainly occurs during chemotherapy. However , there are rare incidences of spontaneous tumorlysissyndrome (STLS) prior to commencement of therapy. In the case being reported, the child had just undergone a biopsy. As the incision was being closed, there was a sudden onset of high fever, arrhythmia, severe hyperkalemia, hypocalcemia, and acidosis. Following timely symptomatic treatment and continuous renal replacement therapy(CRRT), the child's
Laboratory and clinical features of tumorlysissyndrome in children with non-Hodgkin lymphoma and evaluation of long-term renal functions in survivors. The purpose of our study is to investigate the laboratory and clinical features of tumorlysissyndrome (TLS) and acute kidney injury (AKI) in childhood non-Hodgkin lymphomas (NHL) and to reveal their impact on long term kidney function
A case report of spontaneous tumorlysissyndrome in a patient with chronic myeloid leukemia treated successfully with allopurinol. TumorLysisSyndrome (TLS) is an oncologic emergency that may occur in any patient with a hematologic malignancy, even prior to initiation of chemotherapy. Spontaneous TLS massive tumor cell destruction with intracellular electrolyte release prior to the initiation of chemotherapy. Spontaneous tumorlysissyndrome is a rare presentation, mainly occurring in Acute Leukemia and non-Hodgkin Lymphoma. Chronic Myeloid Leukemia (CML) is a low-risk disease based on TLS risk stratification. To the best of our knowledge, spontaneous TLS in the chronic phase of CML successfully treated with allopurinol and aggressive hydration has yet to be reported in the literature. A case report
Expert consensus guidelines for the prophylaxis and management of tumorlysissyndrome in the United States: Results of a modified Delphi panel. Tumorlysissyndrome (TLS), which occurs spontaneously or in response to anticancer treatment, results in the release of intracellular potassium, phosphorus, and nucleic acids into the bloodstream, which results in secondary clinical complications
Tumorlysissyndrome in premature infant prompting early resection of a large sacrococcygeal teratoma: a case report. Sacrococcygeal teratomas (SCTs) are the most common congenital neoplasm and often require resection soon after birth. There are rare reports of cardiac arrest during surgery due to manipulation of the tumor triggering secondary necrosis and hyperkalemia. This case describes a very preterm infant with a SCT who develops spontaneous preoperative tumorlysissyndrome (TLS). The medical team utilized rasburicase and the patient underwent total gross resection at 40 h of life. We emphasize the importance of the early recognition and management of tumorlysissyndrome in SCT with rasburicase, aggressive management of hyperkalemia and consideration of early resection of SCTs
A case of spontaneous tumorlysissyndrome in an adolescent with abdominal pain. Tumorlysissyndrome (TLS) is an acutely life threatening, must-not miss, oncological emergency that infrequently presents to the emergency department (ED). This diagnosis is typically a complication of chemotherapy, however, TLS can also occur spontaneously as the first presentation of malignancy. This case
Spontaneous tumorlysissyndrome in the setting of Candida albicans Fungemia. TumorLysisSyndrome (TLS) is a metabolic emergency seen in patients who receive cytotoxic chemotherapy and can result in significant morbidity and mortality, especially in those patients with high tumor burden. Spontaneous tumorlysissyndrome (STLS) occurs in patients without preceding chemotherapy but may occur in the setting of glucocorticoid administration. We present a case of a 75-year-old male with a history of myelodysplastic syndrome who presented with shortness of breath and developed acute renal failure due to tumorlysissyndrome, likely triggered by candidemia. To our knowledge, this is the first known case of STLS in a patient with high tumor burden who did not receive corticosteroids but likely developed
TumorLysisSyndrome and AKI: Beyond Crystal Mechanisms. The pathophysiology of AKI during tumorlysissyndrome (TLS) is not well understood due to the paucity of data. We aimed to decipher crystal-dependent and crystal-independent mechanisms of TLS-induced AKI. Crystalluria, plasma cytokine levels, and extracellular histones levels were measured in two cohorts of patients with TLS. We developed
TumorLysisSyndrome. Tumorlysissyndrome is a life-threatening oncologic emergency in adult and pediatric patients with hematologic cancer. It occurs most often in malignancies with rapid cell turnover and large tumor burden, but its incidence has risen in solid tumors. The subsequent release of tumor cell contents into the bloodstream results in dangerous electrolyte and metabolic disturbances. To provide acute and critical care nurses with a comprehensive review targeted to critical care nursing practice. Recognition of hallmark signs and symptoms will improve early detection and intervention. A literature review was performed using the following keywords: tumorlysissyndrome, diagnosis, nursing, early detection, and early diagnosis in PubMed and tumorlysissyndrome, diagnosis
Intraoperative tumorlysissyndrome in a giant teratoma: a case report. Tumorlysissyndrome is an unusual metabolic emergency in solid tumors. Perioperative occurrence of this syndrome is extremely rare but may have fatal consequences if not detected and treated on time. We report a 19-year patient with testicular germ cell tumor after first line chemotherapy with giant growing teratoma syndrome in retroperitoneum. He underwent radical resection, however, perioperatively, a fatal case of heart failure due to unrecognized intraoperative tumorlysissyndrome developed. Surgeons, anesthesiologists and oncologists should be aware of this complication in order to be prepared for such an emergency.
TumorLysisSyndrome: A Rare but Serious Complication of Radioligand Therapies. Radioligand therapy (RLT) is considered a safe treatment for patients with metastasized neuroendocrine tumors and prostate cancer, and the occurrence of tumorlysissyndrome (TLS) with Lu-labeled peptides has not yet been reported. We retrospectively screened our patient database for TLS after RLT in neuroendocrine
[Advances in diagnosis and treatment of tumorlysissyndrome in children with hematological malignancies]. 肿瘤溶解综合征(TLS)是常见的肿瘤科急症,在血液病患儿中尤为常见。成人和儿童的TLS诊断和风险评估标准在近20年间不断更新,但目前仍缺乏广泛认可的标准。TLS的防治策略也在不断完善,当前的TLS预防措施主要包括化疗前后充分水化、根据需要碱化尿液、纠正高尿酸血症。随着拉布立海等新型药物进入临床以及多学科管理概念的逐渐强化,血液病TLS患儿的临床转归将有望被进一步改善。.
Rasburicase for adults with acute tumorlysissyndrome: a review of clinical and cost effectiveness and safety Rasburicase for adults with acute tumorlysissyndrome: a review of clinical and cost effectiveness and safety ..
TumorLysisSyndrome after Bilobectomy for Typical Carcinoid Tumor of the Lung. Tumorlysissyndrome is a life-threatening complication comprising hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia attributed to release of intracellular contents. Although traditionally associated with leukemia and lymphoma after chemotherapy, it is known to occur in solid malignancies. We herein
Urine xanthine crystals in tumorlysissyndrome. Urine xanthine crystals are remarkably rare but can be observed by routine urine microscopy. We report the results of a 67-year-old man with T-cell-prolymphocytic leukemia whose urine contained xanthine crystals after chemotherapy and prophylactic administration of febuxostat. Accumulation of xanthine was due to tumorlysissyndrome causing
Tumorlysissyndrome associated with docetaxel and carboplatin in a case with recurrent endometrial cancer Tumorlysissyndrome (TLS) is an oncological life-threatening complication characterized by hyperuricemia, hyperphosphatemia, and hyperkalemia, which can lead to acute renal failure, cardiac arrhythmias, cardiac arrest and seizures. Although TLS is a rare complication in patients with non
Timing of Renal Replacement Therapy Initiation in TumorLysisSyndrome The TENDERS study aims to evaluate the impact of the timing of renal replacement therapy (RRT) initiation on outcomes in patients with tumorlysissyndrome (TLS) and associated acute kidney injury (AKI). The study will compare early versus delayed RRT initiation, examining the effect on renal function at 30 days post-treatment . Tumorlysissyndrome (TLS) is a common and life-threatening complication in patients with hematologic malignancies, characterized by severe metabolic imbalances due to rapid tumor cell destruction. This syndrome frequently leads to acute kidney injury (AKI), requiring renal replacement therapy (RRT) in about 50% of cases. Despite its clinical significance, there is a lack of consensus on the optimal
Treatment-naïve spontaneous tumorlysissyndrome in metastatic prostate adenocarcinoma: An unusual suspect. Tumorlysissyndrome (TLS) is a potentially fatal condition defined both by laboratory and clinical criteria. It is caused by the catabolism of tumor cells which leads to considerable release and elevated levels of phosphate, potassium and uric acid in the bloodstream. These electrolyte
A rare seizure: Tumorlysissyndrome after radiation therapy of a solid tumor. Tumorlysissyndrome (TLS) is an uncommon but life threatening condition seen in oncology patients. Due to its underlying pathophysiology, it is classically associated with hematologic malignancies following chemotherapeutic treatment. In this article, we present a case of TLS in the setting of two rare features
Spontaneous tumorlysissyndrome in colon cancer: a case report and literature review Although tumorlysissyndrome is well described, it is rarely seen or suspected in solid malignancies. Early recognition of this entity is paramount in reducing morbidity and mortality. Treating physicians should be aware of this possibility in solid tumor patients with either bulky disease or extensive liver