Paraneoplastic syndromes Flashcards
Aside from saline rehydration, treatment of severe hypercalcemia may also include the
following measures
GI
Pamidronate
Calcitonin
Ectopic production of intact Human Chorionic Gonadotropin (hCG) is often encountered in association with
Testicular embryonal tumors
The most common cause of Superior Vena Cava syndrome (SVCS), responsible for 85% of cases
Lung cancer
When SVCS is encountered in a young man with a mediastinal mass, the main differential diagnosis is lymphoma vs
Primary mediastinal germ cell tumor
Diagnostic modality of choice for SVC syndrome
Ct scan
While awaiting definitive management , patients with SVCS due to lymphoma may benefit from immediate treatment with
GC
primary treatment for SVCS caused by non-small cell lung cancer and other metastatic solid tumors
RT
Distinctive pain characteristic of back pain from cord compression
Unlike disc disease, pain worsens when patient is supine
earliest radiologic finding of vertebral tumor
Erosion of the pedicles (“winking owl sign”)
rain leukostasis , which may present with stupor, headache, visual disturbances, or coma, is a potentially fatal complication of
Acute myeloid leukemia
most common paraneoplastic syndrome
hypercalcemia
Acute renal failure in tumor lysis syndrome is usually caused by:
Acute uric acid nephropathy
treatment of choice for hemorrhagic cystitis caused by alkylating agents such as cyclophosphamide and ifosfamide:
2-mercaptoethanesulfonate (mesna)
Paraneoplastic Oncogenic osteomalacia
Phosphatonin