Successful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma: a case report
Abstract Background Tumor lysis syndrome is a life-threatening complication in the treatment of cancer. However, it rarely occurs in solid tumors, especially in hepatocellular carcinoma. Case presentation We present a 52-year-old male Asian patient with advanced hepatocellular carcinoma treated with...
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BMC
2024-12-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-024-04928-y |
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| author | Miao Li Ying-Ting Zhou Bi-Wei Yang |
| author_facet | Miao Li Ying-Ting Zhou Bi-Wei Yang |
| author_sort | Miao Li |
| collection | DOAJ |
| description | Abstract Background Tumor lysis syndrome is a life-threatening complication in the treatment of cancer. However, it rarely occurs in solid tumors, especially in hepatocellular carcinoma. Case presentation We present a 52-year-old male Asian patient with advanced hepatocellular carcinoma treated with hepatic artery infusion chemotherapy that resulted in tumor lysis syndrome. The patient developed symptoms of oliguria, seizure, hyperkalemia, hyperuricemia, hypocalcemia, hyperphosphatemia, and increased creatinine. He recovered from it after adequate hydration, correction of metabolic abnormalities, and renal replacement therapy. Conclusions This case highlights the importance of maintaining a high index of suspicion of TLS even in solid tumors such as hepatocellular carcinoma, especially with a large tumor burden. It also underscores the need for early intervention in suspected TLS for a successful outcome. |
| format | Article |
| id | doaj-art-ec0d885bdcdb4e6086493a521f7a0402 |
| institution | OA Journals |
| issn | 1752-1947 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj-art-ec0d885bdcdb4e6086493a521f7a04022025-08-20T02:32:26ZengBMCJournal of Medical Case Reports1752-19472024-12-011811510.1186/s13256-024-04928-ySuccessful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma: a case reportMiao Li0Ying-Ting Zhou1Bi-Wei Yang2Liver Cancer Institute, National Clinical Research Center for Interventional Medicine, Zhongshan Hospital, Fudan UniversityLiver Cancer Institute, National Clinical Research Center for Interventional Medicine, Zhongshan Hospital, Fudan UniversityLiver Cancer Institute, National Clinical Research Center for Interventional Medicine, Zhongshan Hospital, Fudan UniversityAbstract Background Tumor lysis syndrome is a life-threatening complication in the treatment of cancer. However, it rarely occurs in solid tumors, especially in hepatocellular carcinoma. Case presentation We present a 52-year-old male Asian patient with advanced hepatocellular carcinoma treated with hepatic artery infusion chemotherapy that resulted in tumor lysis syndrome. The patient developed symptoms of oliguria, seizure, hyperkalemia, hyperuricemia, hypocalcemia, hyperphosphatemia, and increased creatinine. He recovered from it after adequate hydration, correction of metabolic abnormalities, and renal replacement therapy. Conclusions This case highlights the importance of maintaining a high index of suspicion of TLS even in solid tumors such as hepatocellular carcinoma, especially with a large tumor burden. It also underscores the need for early intervention in suspected TLS for a successful outcome.https://doi.org/10.1186/s13256-024-04928-yTumor lysis syndromeHepatocellular carcinomaHepatic artery infusion chemotherapyCase report |
| spellingShingle | Miao Li Ying-Ting Zhou Bi-Wei Yang Successful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma: a case report Journal of Medical Case Reports Tumor lysis syndrome Hepatocellular carcinoma Hepatic artery infusion chemotherapy Case report |
| title | Successful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma: a case report |
| title_full | Successful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma: a case report |
| title_fullStr | Successful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma: a case report |
| title_full_unstemmed | Successful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma: a case report |
| title_short | Successful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma: a case report |
| title_sort | successful treatment of tumor lysis syndrome associated with hepatic artery infusion chemotherapy in a patient with hepatocellular carcinoma a case report |
| topic | Tumor lysis syndrome Hepatocellular carcinoma Hepatic artery infusion chemotherapy Case report |
| url | https://doi.org/10.1186/s13256-024-04928-y |
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