Bhardwaj Sharonlin, Varma Seema
Maimonides Medical Center, Brooklyn, NY, USA.
J Oncol Pharm Pract. 2018 Mar;24(2):153-155. doi: 10.1177/1078155217694492. Epub 2017 Feb 17.
Tumor lysis syndrome is a serious and sometimes lethal complication of cancer treatment that is comprised of a set of metabolic disturbances along with clinical manifestations. Initiating chemotherapy in bulky, rapidly proliferating tumors causes rapid cell turnover that in turn releases metabolites into circulation that give rise to metabolic derangements that can be dangerous. This syndrome is usually seen in high-grade hematological malignancies. Less commonly, tumor lysis syndrome can present in solid tumors and even rarely in genitourinary tumors. In this report, the authors describe a specific case of tumor lysis syndrome in a patient with metastatic prostate cancer following treatment with docetaxel.
肿瘤溶解综合征是癌症治疗中一种严重且有时致命的并发症,它由一系列代谢紊乱及临床表现组成。对体积较大、快速增殖的肿瘤进行化疗会导致细胞迅速更新,进而将代谢产物释放到循环系统中,引发可能具有危险性的代谢紊乱。这种综合征通常见于高级别血液系统恶性肿瘤。较少见的是,肿瘤溶解综合征可出现在实体瘤中,甚至在泌尿生殖系统肿瘤中极为罕见。在本报告中,作者描述了一例多西他赛治疗后转移性前列腺癌患者发生肿瘤溶解综合征的具体病例。