Oncologic emergencies

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor in Chief: Cafer Zorkun, M.D., Ph.D. [2]

Classification

There are two different classifications of oncologic emergencies.

1. According to Presentation

Presenting Emergencies

• APML Acute promyelocytic leukemia
• Hyperleukocytosis
• Spinal cord compression
• SVC syndrome

Therapy-associated Emergencies

• Fever and Neutropenia
• Tumor lysis syndrome
• Typhilitis

2. According to Organ Systems

Metabolic Emergencies

• Hypercalcemia
• Syndrome of inappropriate antidiuretic hormone
• Tumor lysis syndrome

Cardiac Emergencies

• Cardiac tamponade
• Superior vena cava syndrome

Hematologic Emergencies

• Disseminated intravascular coagulopathy
• Migratory thrombophlebitis: Trousseau's syndrome

Neurologic Emergencies

• Cord compression
• Intracerebral metastases

Diagnosis

Chest X Ray

Show below is a chest x ray demonstrating a mediastinal mass.

• 
  Mediastinal mass

CT

• 
  CT: Thickened peritoneum and ascites. Burkitt's lymphoma
• 
  CT: Burkitt's lymphoma
• 
  CT: Typhilitis