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Tumor lysis syndrome and metastatic melanoma

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Abstract

Tumor lysis syndrome (TLS) is a potential emergent complication of oncologic treatment. TLS is commonly reported in hematological malignancies with rapid cell turnover rates, but is relatively rare in solid tumors. TLS is most frequently a result of cancer treatment in combination with a large tumor burden, but has occasionally been reported to occur spontaneously, especially in cases of advanced or metastatic disease. In this article, we describe the case of a patient with newly diagnosed metastatic melanoma that developed TLS two days after initiation of corticosteroids. In addition, we present a brief literature review of melanoma-associated TLS and review the etiology, diagnosis, and management of TLS.

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References

  1. Cairo MS, Bishop M. Tumour lysis syndrome: new therapeutic strategies and classification. Br J Haematol. 2004;127(1):3–11. doi:10.1111/j.1365-2141.2004.05094.x.

    Article  PubMed  Google Scholar 

  2. Howard SC, Jones DP, Pui CH. The tumor lysis syndrome. N Engl J Med. 2011;364(19):1844–54. doi:10.1056/NEJMra0904569.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Kim JO, Jun DW, Tae HJ, Lee KN, Lee HL, Lee OY, et al. Low-dose steroid-induced tumor lysis syndrome in a hepatocellular carcinoma patient. Clin Mol Hepatol. 2015;21(1):85–8. doi:10.3350/cmh.2015.21.1.85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Mouallem M, Zemer-Wassercug N, Kugler E, Sahar N, Shapira-Frommer R, Schiby G. Tumor lysis syndrome and malignant melanoma. Med Oncol. 2013;30(3):364. doi:10.1007/s12032-012-0364-z.

    Article  PubMed  Google Scholar 

  5. Okamoto K, Kinoshita T, Shimizu M, Okura I, Kawada A, Mizobuchi K, et al. A case of spontaneous tumor lysis syndrome in a patient with ovarian cancer. Case Rep Obstet Gynecol. 2015;2015:461870. doi:10.1155/2015/461870.

    PubMed  PubMed Central  Google Scholar 

  6. Borne E, Serafi R, Piette F, Mortier L. Tumour lysis syndrome induced by corticosteroid in metastatic melanoma presenting with initial hyperkalemia. J Eur Acad Dermatol Venereol. 2009;23(7):855–6. doi:10.1111/j.1468-3083.2008.03058.x.

    Article  CAS  PubMed  Google Scholar 

  7. Busam KJ, Wolchok J, Jungbluth AA, Chapman P. Diffuse melanosis after chemotherapy-induced tumor lysis syndrome in a patient with metastatic melanoma. J Cutan Pathol. 2004;31(3):274–80.

    Article  PubMed  Google Scholar 

  8. Castro MP, VanAuken J, Spencer-Cisek P, Legha S, Sponzo RW. Acute tumor lysis syndrome associated with concurrent biochemotherapy of metastatic melanoma: a case report and review of the literature. Cancer. 1999;85(5):1055–9.

    Article  CAS  PubMed  Google Scholar 

  9. Dar L, Gendelman O, Amital H. Tumor lysis syndrome presenting in a patient with metastatic melanoma treated with radiation therapy. Isr Med Assoc J. 2014;16(7):456–7.

    PubMed  Google Scholar 

  10. Habib GS, Saliba WR. Tumor lysis syndrome after hydrocortisone treatment in metastatic melanoma: a case report and review of the literature. Am J Med Sci. 2002;323(3):155–7.

    Article  PubMed  Google Scholar 

  11. Minasian LM, Szatrowski TP, Rosenblum M, Steffens T, Morrison ME, Chapman PB, et al. Hemorrhagic tumor necrosis during a pilot trial of tumor necrosis factor-alpha and anti-GD3 ganglioside monoclonal antibody in patients with metastatic melanoma. Blood. 1994;83(1):56–64.

    CAS  PubMed  Google Scholar 

  12. Stoves J, Richardson D, Patel H. Tumour lysis syndrome in a patient with metastatic melanoma treated with biochemotherapy. Nephrol Dial Transpl. 2001;16(1):188–9.

    Article  CAS  Google Scholar 

  13. Nakamura Y, Nakamura Y, Hori E, Furuta J, Ishii Y, Takahashi T, et al. Tumor lysis syndrome after transcatheter arterial infusion of cisplatin and embolization therapy for liver metastases of melanoma. Int J Dermatol. 2009;48(7):763–7. doi:10.1111/j.1365-4632.2009.04087.x.

    Article  PubMed  Google Scholar 

  14. Mirrakhimov AE, Ali AM, Khan M, Barbaryan A. Tumor lysis syndrome in solid tumors: an up to date review of the literature. Rare Tumors. 2014;6(2):5389. doi:10.4081/rt.2014.5389.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Chapman PB, D’Angelo SP, Wolchok JD. Rapid eradication of a bulky melanoma mass with one dose of immunotherapy. N Engl J Med. 2015;372(21):2073–4. doi:10.1056/NEJMc1501894.

    Article  PubMed  Google Scholar 

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Correspondence to Marshall W. Meeks.

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The authors have no conflicts of interest to disclose.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent to publish this study was obtained from the patient’s legally authorized representative.

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Meeks, M.W., Hammami, M.B., Robbins, K.J. et al. Tumor lysis syndrome and metastatic melanoma. Med Oncol 33, 134 (2016). https://doi.org/10.1007/s12032-016-0854-5

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  • DOI: https://doi.org/10.1007/s12032-016-0854-5

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