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Çocukluk Çağında Tümör Lizis Sendromu

Tumor Lysis Syndrome in Childhood

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Abstract (2. Language): 
Tumor lysis syndrome (TLS) is a clinical condition that results from rapid destruction of the tumor cells and it is associated with life-threatening metabolic abnormalities. These metabolic abnor¬malities are hyperuricemia, hyperkalemia, hyperphosphatemia and secondary development of hypocalcemia. TLS is seen most frequ¬ently in patients with lymphoproliferative malignancies. The most important point of treatment is early identification of patients that are at risk for the development of TLS and its prevention. Nephrology clinics are closely interested in TLS because generally the metabolic abnormalities occur together with the acute renal failure. This review focuses on basic background information, pat-hogenesis and preventive as well as therapeutic strategies concer¬ning TLS.
Abstract (Original Language): 
Tümör lizis sendromu (TLS), tümör hücrelerinin hızlı bir şekilde yıkılmasıyla ortaya çıkan ve yaşamı tehdit edebilen metabolik anormalliklerle seyreden bir klinik tablodur. Bu metabolik anormallikler hiperürisemi, hiperkalemi, hiperfosfatemi ve buna ikincil ortaya çıkan hipokalsemidir. Sendrom sıklıkla lenfoproliferatif malign hastalıklı hastalarda görülür. Riskli hastaların erken belirlenmesi ve TLS gelişiminin önlenmesi tedavinin en önemli bölümüdür. Tanımlanan metabolik bozuklukların yanında akut böbrek yetmezliği (ABY) gelişme riskinin yüksek olması nedeniyle nefroloji klinikleri¬ni yakından ilgilendirmektedir. Bu yazıda TLS hakkında temel bilgi¬ler, patogenez ve tedavi yöntemleri ile önleyici girişimler sunul¬maktadır.
FULL TEXT (PDF): 
57-61

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