Case Report
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 | ā | Elevated serum phosphate | Host-related risk factors for developing TLS | ā | Dehydration | Chemotherapy regimen | Capecitabine and cisplatin | Oxaliplatin, leucovorin, floxuridine, and docetaxel | Onset of TLS after receiving chemotherapy | 3 days | 7 days |
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Reference: [37].
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