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Insights into Uncommon Presentation--Acute T-cell Lymphoma with Mediastinal Mass and Pericardial Effusion: Exploring the Rare Phenomenon of Spontaneous Tumor Lysis.

Authors :
Shivanna, Shivakumar
Nagaraju, Rajeshwari T.
Mandala, Swapna B.
Chitrapur, Rohith G.
Menon, Indira
Source :
Indian Journal of Critical Care Case Reports (IJCCR); May/Jun2024, Vol. 3 Issue 3, p57-60, 4p
Publication Year :
2024

Abstract

Tumor lysis syndrome (TLS) is a life-threatening hemato-oncological emergency in which the patient presents with severe metabolic derangements that include hyperuricemia, hyperphosphatemia, hyperkalemia, and hypocalcemia. However, very rarely, a highly aggressive neoplasm such as acute lymphoblastic leukemia (ALL) or Burkitt lymphoma can present with spontaneous TLS. Preventive actions can reduce its prevalence and severity. Here, we present a male patient who was admitted to the intensive care unit with unspecific symptoms and hidden malignancy. On further evaluation, the patient had hyperphosphatemia, hyperuricemia, a large mediastinal mass, pericardial effusion, and left-sided massive pleural effusion and was also found to be in spontaneous TLS. On further evaluation, the patient was diagnosed with acute T-cell lymphoblastic leukemia. [ABSTRACT FROM AUTHOR]

Details

Language :
English
Volume :
3
Issue :
3
Database :
Complementary Index
Journal :
Indian Journal of Critical Care Case Reports (IJCCR)
Publication Type :
Academic Journal
Accession number :
177446531
Full Text :
https://doi.org/10.5005/jp-journals-11006-010