Emergencies in Oncological Practice

Oncological emergencies are defined as an acute lifethreatening event in a patient with tumor occurring part of their complex treatment regimen or secondarily to underlying malignancy. These events can occur at any time from the initial diagnosis cancer endstage disease; and be encountered clinical setting, ranging primary care physician emergency department visits variety subspecialty environments. Oncologic situations that lead death short (24-48 hours) if not quickly faced. In practice medical oncologist, such do infrequently occur. The onset oncologic may depend on presence itself, therapies carried out counteract cancer, patient’s predisposition develop events. It is essential recognize aforementioned early order treat them promptly, thus avoiding serious consequences. BJM Vol. 34 No. 2(1) Suppliment 2023 Scientific Presentation 186 Therefore, it critically important all physicians have working knowledge potential oncological present how provide most effective without delay. Nervous system include spinal cord compression, raised ICP, leptomeningeal disease, seizures altered mental status whereas superior venacaval syndrome, hyperviscocity hyperleukocytosis, venous thromboembolism, Hemorrhage DIC vascular haematologic emergencies. Several classic metabolic syndrome inappropriate antidiuretic hormone secretion, lysis hypercalcemia Among pulmonary problems airway obstruction, massive haemoptysis, toxic lung injuries, pneumonitis fibrosis caused by treatment. Urologic hemorrhagic cystitis obstructive uropathy also seen. Gastrointestinal bleeding patients typlitis neutropenic fever potentially serius complications also. Immune check point inhibitors cause irAEs practically organ SJS, TEN, thyroiditis, hypophysitis, adrenilitis, diabetic ketoacidosis life threatening myocarditis which associated poor overall survival. threaten well-being almost Although some these conditions related therapy, they no means confined period active setting recurrent malignancy, years after surveillance has been appropriately transferred oncologist provider. As such, awareness history its possible forms clinician’s base. Prompt identification intervention prolong survival improve quality life, even terminal illness. Bangladesh J Medicine 2023; 34, Supplement: 186-187