eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
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1/2019
vol. 35
 
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abstract:
Review paper

Comprehensive review of oncological emergencies seen in clinical practice

Paul Oben
,
Vincent Fein

Medical Studies/Studia Medyczne 2019; 35 (1): 69–81
Online publish date: 2019/03/30
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Aim of the research
To provide an up-to-date review of the literature on the pathophysiology, diagnosis, and management of common oncologic emergencies encountered in clinical practice.

Material and methods
We conducted a systematic computerised search in PubMed, Scopus, Web of Science, and Embase.

Results
We reviewed relevant medical literature. Most common complications requiring emergency management are addressed in this review, specifically: tumour lysis syndrome, seizures and status epilepticus, pulmonary embolism, leukostasis, thrombotic microangiopathy, febrile neutropaenia, disseminated intravascular coagulation, massive haemoptysis, diffuse alveolar haemorrhage, stem cell transplant-related complications, surgically related complications of malignancy, metastatic spinal cord metastasis, and superior vena cava syndrome.

Conclusions
Oncologic emergencies and related complications demand increased attention from attending physicians, oncologists, and intensivists. Knowledge of oncologic emergencies encountered in clinical practice expedites the ability of physicians to manage them properly. The identification and institution of proper management can improve outcomes in these patients.

keywords:

oncology, febrile neutropaenia, emergencies, tumour lysis syndrome, leukostasis

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