7th Global Nephrology Meeting
Cape Town, South Africa
Marcus WL Chow
Tan Tock Seng Hospital, Singapore
Title: Tumour Lysis Syndrome: a rare acute presentation of advanced testicular cancer
Biography
Biography: Marcus WL Chow
Abstract
Tumour lysis syndrome (TLS) is a potentially fatal complication of malignancy or its treatment. This uncommon syndrome comprises of laboratory findings of hyperuricaemia, hypocalcaemia, hyperkalaemia and hyperphosphataemia. A literature search revealed a total of 8 case reports of TLS in testicular cancer. We present the case of a 47-year-old gentleman we saw in clinic and discuss the diagnosis and management of TLS. The patient was referred for progressive right groin swelling of 1-year duration, with known undescended right testis. Physical examination revealed a 15cm firm right groin lump, not extending into the scrotum. His right testis was not palpable. A CT Abdomen/Pelvis scan done prior revealed a 15x11x16cm right groin mass suggestive of gonadal malignancy. He was noted to be dyspnoiec and tachypnoiec. CT Pulmonary Angiogram excluded pulmonary embolism and lung metastases.