Tumor lysis syndrome causes
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The most common tumors associated with this syndrome are poorly differentiated lymphomas, such as Burkitt's lymphoma, and leukemias, such as acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML). Other cancers have also been associated with TLS but are less common. Usually, the precipitating medication regimen includes combination chemotherapy, but those patients with lymphoma and ALL can be affected with steroid treatment alone.
Causes
Life Threatening Causes
Common Causes
Causes by Organ System
| Cardiovascular | No underlying causes |
| Chemical/Poisoning | No underlying causes |
| Dental | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect |
Bortezomib, cytotoxic chemotherapy, etoposide, fludarabine, glucocorticoids, hydroxyurea, imatinib, lenalidomide , paclitaxel, rituximab, zoledronic acid |
| Ear Nose Throat | No underlying causes |
| Endocrine | |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | |
| Hematologic | No underlying causes |
| Iatrogenic | No underlying causes |
| Infectious Disease | No underlying causes |
| Musculoskeletal/Orthopedic | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional/Metabolic | |
| Obstetric/Gynecologic | |
| Oncologic |
Acute lymphoblastic leukemia , acute myeloid leukemia, adult T-cell leukemia , adult T-cell lymphoma, anaplastic large cell lymphoma, B-cell ALL, breast cancer , Burkitt's lymphoma, chronic myeloid leukemia, diffuse large B-cell lymphoma, gastrointestinal stromal tumors, germ cell tumors , hepatoblastoma, hepatocellular carcinoma, hodgkin's disease, isolated plasmacytomas, mantle cell lymphoma, medulloblastoma, melanoma, metastatic colorectal cancer , multiple myeloma, neuroblastoma, Non-Hodgkin lymphoma, ovarian cancer , rhabdomyosarcoma, sarcoma, small cell lung cancer, squamous cell carcinoma of the vulva, T-cell ALL, thalidomide, transformed lymphoma, urothelial cancer |
| Ophthalmologic | No underlying causes |
| Overdose/Toxicity | |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal/Electrolyte | |
| Rheumatology/Immunology/Allergy | |
| Sexual | No underlying causes |
| Trauma | No underlying causes |
| Urologic | No underlying causes |
| Miscellaneous | No underlying causes |