Fenomeno tumoral pdf descargar documento y libros pdf. Sometimes ulceration of the overlying skin can occur. Tumoral calcinosis is a rare syndrome characterized by massive subcutaneous soft tissues deposits of calcium phosphate near the large joints. Both metabolic and traumatic etiologies have been proposed.
Tumour lysis syndrome tls is a set of metabolic disorders and a consequence of the rapid release of intracellular components such as potassium, phosphates, nucleic acids, proteins and their metabolites into the bloodstream as a result of the massive destruction of a tumour population. American veterinary medical association 1931 north meacham road, suite 100 schaumburg, illinois 60173 4360 phone. Guidelines for the management of tumour lysis syndrome in adults. A2 1department of surgery, college of medicine, university of ibadan, nigeria.
Recognizing and managing the expanded risk of tumor lysis. Introduction tumoral calcinosis tc is a rare clinical and histopathologic syndrome characterized by calcium salt deposition in different periarticular soft tissue regions. Tumor lysis syndrome tls is characterized by a massive tumor cell death leading to the development of metabolic derangements and target organ dysfunction. We searched pubmedmedline, scopus, embase, and the web of science for articles focused on tls from 1950 to june 2014. We report herein a 20 old boy with calcified lesions bilaterally involving the soft. Tumor lysis syndrome tls is widely recognized as a serious adverse event. Rasburicase is a recombinant form of the enzyme urate oxidase uo. Tumoral calcinosis tc has long been a controversial clinicopathological entity. Catabolism of the nucleic acids to uric acid leads to hyperuricemia. Pdf tumor lysis syndrome tls is a clinical condition that is caused by a. Patients at high risk for the development of tumor lysis syndrome should be. It mainly manifests in childhood or adolescence as painless, firm, tumorlike masses around the joints that may lead to joint function limitations. Its pathogenesis and genetic background have been gradually unravelled since its first description in 1943. Tls can occur as a result of cancer treatment or spontaneously.
Palla, ms,3 and abdulla salahudeen, md, mba, frcp1 background. Tumor lysis syndrome tls describes the clinical and laboratory. Original investigation rasburicase in tumor lysis syndrome of the adult. Blood cancers constitute the vast majority of tls cases because of the sensitivity to therapy and rapid division rates. Es rara su aparicion en tumores solidos mirrakhimov ae, 2014. According to the presence or absence of an underlying calcifying disease process, tc has been divided into primary and secondary varieties. Disclosure forms provided by the authors are available with the full text of this article at. The use of rasburicase has been evaluated extensively in children, but not in adults. 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. Tumor lysis syndrome caused by therapeutic monoclonal.
Tumor lysis syndrome tls is an oncologic emergency that is caused by massive tumor cell lysis with the release of large amounts of potassium, phosphate, and nucleic acids into the systemic circulation. Lopezolivo, md, phd,1 gregory pratt, dds, mls,2 shana l. Enviar copia a farmacia riesgo bajo tumores solidos alopurinol hasta 300 mgdia, ajustar por funcion renal. Download as ppt, pdf, txt or read online from scribd. The tumor lysis syndrome occurs when tumor cells release their contents into the bloodstream, either. Because of the hyperphosphatemia, calcium is precipitated to form calcium phosphate, leading to. Scribd is the worlds largest social reading and publishing site. The family has a predisposition through a germline mutation. Patients are generally of african descent and are adolescents or young adults at presentation. Tumor lysis syndrome is a group of metabolic abnormalities that can occur as a complication. Tumor lysis syndrome tls describes the clinical and laboratory sequelae that result from the rapid release of intracellular contents of dying cancer cells.
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