Diagnosis and management of tumor lysis syndrome
- PMID: 32850076
- PMCID: PMC7426989
- DOI: 10.1080/20009666.2020.1761185
Diagnosis and management of tumor lysis syndrome
Abstract
Tumor lysis syndrome (TLS) is an oncological emergency characterized by a classic tetrad of hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia. Risk assessment and prophylactic therapy is critical in preventing this oncological emergency. Treatment of established TLS involves aggressive hydration, electrolyte management, and the use of hypouricemic agents.
Keywords: Tumor lysis syndrome; cancer; malignancy; tumor; uric acid.
© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.
Conflict of interest statement
The authors have no financial relationships relevant to this article to disclose.
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References
-
- Cairo MS, Bishop M.. Tumour lysis syndrome: new therapeutic strategies and classification. Br J Haematol. 2004;127(1):3–11. - PubMed
-
- Brown RB, Razzaque MS. Phosphate toxicity and tumorigenesis. Biochim Biophys Acta Rev Cancer. 2018;1869(2):303–309. - PubMed
-
- Lopez-Olivo MA, Pratt G, Palla SL, et al. Rasburicase in tumor lysis syndrome of the adult: a systematic review and meta-analysis. Am J Kidney Dis. 2013;62(3):481–492. - PubMed
-
- Cairo MS, Coiffier B, Reiter A, et al., TLS Expert Panel . Recommendations for the evaluation of risk and prophylaxis of tumour lysis syndrome (TLS) in adults and children with malignant diseases: an expert TLS panel consensus. Br J Haematol. 2010;149(4):578–586. . - PubMed
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