A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma

Tumor lysis syndrome is an oncologic emergency that can present with variable symptoms and is truly a laboratory-based diagnosis without pathognomonic clinical findings. The classical teaching is to consider this diagnosis in cancer patients undergoing chemotherapy. We present the case of a 66-year-...

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Main Authors:	Kathleen E. Kalmbach, Leena T. Rahmat, Justyna A. Wos, Nicholas J. Daniel
Format:	Article
Language:	English
Published:	eScholarship Publishing, University of California 2019-11-01
Series:	Clinical Practice and Cases in Emergency Medicine
Online Access:	https://escholarship.org/uc/item/5cx862wh

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spelling	doaj-25df56773eca4775aac18d716d383c862020-11-25T02:59:24ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-11-013410.5811/cpcem.2019.9.43770cpcem-03-398A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon AdenocarcinomaKathleen E. Kalmbach0Leena T. Rahmat1Justyna A. Wos2Nicholas J. Daniel3University of Massachusetts Medical School, Baystate Medical Center, Department of Emergency Medicine, Springfield, MassachusettsJohns Hopkins University, Sidney Kimmel Comprehensive Cancer Center, Department of Oncology, Washington, District of ColumbiaSpringfield College, Department of Physician Assistant Studies, Springfield, MassachusettsUniversity of Massachusetts Medical School, Baystate Medical Center, Department of Emergency Medicine, Springfield, MassachusettsTumor lysis syndrome is an oncologic emergency that can present with variable symptoms and is truly a laboratory-based diagnosis without pathognomonic clinical findings. The classical teaching is to consider this diagnosis in cancer patients undergoing chemotherapy. We present the case of a 66-year-old female with newly diagnosed metastatic liver adenocarcinoma, not on chemotherapy, who was diagnosed with spontaneous tumor lysis syndrome. Cognizance of this syndrome and associated laboratory findings are paramount to diagnosis and rapid intervention.https://escholarship.org/uc/item/5cx862wh
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Kathleen E. Kalmbach Leena T. Rahmat Justyna A. Wos Nicholas J. Daniel
spellingShingle	Kathleen E. Kalmbach Leena T. Rahmat Justyna A. Wos Nicholas J. Daniel A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma Clinical Practice and Cases in Emergency Medicine
author_facet	Kathleen E. Kalmbach Leena T. Rahmat Justyna A. Wos Nicholas J. Daniel
author_sort	Kathleen E. Kalmbach
title	A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma
title_short	A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma
title_full	A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma
title_fullStr	A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma
title_full_unstemmed	A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma
title_sort	rare oncologic emergency: spontaneous tumor lysis syndrome in metastatic colon adenocarcinoma
publisher	eScholarship Publishing, University of California
series	Clinical Practice and Cases in Emergency Medicine
issn	2474-252X
publishDate	2019-11-01
description	Tumor lysis syndrome is an oncologic emergency that can present with variable symptoms and is truly a laboratory-based diagnosis without pathognomonic clinical findings. The classical teaching is to consider this diagnosis in cancer patients undergoing chemotherapy. We present the case of a 66-year-old female with newly diagnosed metastatic liver adenocarcinoma, not on chemotherapy, who was diagnosed with spontaneous tumor lysis syndrome. Cognizance of this syndrome and associated laboratory findings are paramount to diagnosis and rapid intervention.
url	https://escholarship.org/uc/item/5cx862wh
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A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma

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