Spontaneous Tumor Lysis Syndrome in Small-Cell Lung Cancer
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Case Report
We report the case of a 65-year-old man who presented to our hospital with complaints of generalized fatigue, anorexia, worsening abdominal distension and right upper quadrant pain, of 5 weeks duration. The patient described a daily abdominal pain, non-radiating, stabbing and intermittent in nature, worsening over the last week. He denied any associated fever, chills, night sweats, or recent infections. Prior medical history included hypertension and compensated alcoholic cirrhosis. Patient had a 25 pack-year smoking history, and had quit smoking 4 years ago. Family history was unremarkable.

On admission, the patient’s temperature was 96.6 °F, blood pressure was 74/47 mm Hg, and heart rate was 90/min. Physical examination revealed an ill-appearing man, in mild distress. Bilateral enlarged supraclavicular lymph nodes were noted. Abdominal exam was remarkable for marked hepatomegaly, with the liver extending more than 10 cm below the right costal margin. Spleen was not palpable. The rest of his examination was normal....

http://wjon.org/index.php/wjon/article/view/946/695
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