An Unusual Presentation of Tumor Lysis Syndrome in a Patient with Advanced Gastric Adenocarcinoma: Case Report and Literature Review

Table 5

Similarities and differences between chemotherapy-induced TLS in advanced gastric adenocarcinoma reported in 2008 and our case.

Similarities	Differences
(i) Massive liver metastasis; (ii) Elevated pretreatment LDH; (iii) Large tumor burden; -Outcome of TLS: resolved	Characteristics	2008 case	Actual case
	Histology	Poorly differentiated	Moderately differentiated
	Tumor extension	Primary bulky tumor is present	Primary tumor was not present (previously resected)
	Pretreatment laboratory data	Slightly elevated serum uric acid	—
		Elevated serum phosphate
	Host-related risk factors for developing TLS	—	Dehydration
	Chemotherapy regimen	Capecitabine and cisplatin	Oxaliplatin, leucovorin, floxuridine, and docetaxel
	Onset of TLS after receiving chemotherapy	3 days	7 days

Reference: [37].