What are the common medical emergencies for a patient with advanced stage cancer?

What is the most common oncologic emergency?

Neutropenic fever (NF) is one of the most well-known oncologic emergencies. Up to 80% of patients receiving chemotherapy for hematologic malignancies will develop NF at least once during the course of therapy.

What is an emergency with cancer?

Summary of Oncologic Emergencies

Condition Cancer association
Superior vena cava syndrome Lung cancer, lymphoma, metastatic mediastinal tumors or lymph nodes, indwelling venous catheters
Malignant epidural spinal cord compression Breast cancer, multiple myeloma, lymphoma, lung and prostate cancers

Why is superior vena cava syndrome and oncologic emergency?

The superior vena cava (SVC) is a large blood vessel that sends blood from the upper body and head to the heart. SVC syndrome happens when blood flow through the superior vena cava is blocked. SVC syndrome is an oncologic emergency, which is a serious health problem caused by the cancer itself or its treatment.

How are oncologic emergencies treated?

Treatment options include chemotherapy, radiation, and intravenous stenting. Epidural spinal cord compression can be treated with dexamethasone, radiation, or surgery. Malignant pericardial effusion, which often is undiagnosed in cancer patients, can be treated with pericardiocentesis or a pericardial window procedure.

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What are oncologic conditions?

Some of the most common types include: Carcinomas: cancers of the skin or the tissues that line the internal organs. Sarcomas: cancers that develop in connective tissues such as bone, cartilage, fat, and muscle. Leukemias: cancers originating in the blood or bone marrow. Lymphomas: cancers originating in the immune …

When should a cancer patient go to the ER?

If you experience chemotherapy- or radiation-induced side effects, for example, nausea, vomiting or diarrhea, and you are unable to control them with medications prescribed by your doctor, you should seek medical care in the EC. The most common problems for which cancer patients come to the EC are pain or high fever.

How long do cancer patients stay in hospital?

Median duration of hospital stay was 9.0 days, with 58.0% of the admissions having a duration of more than 7 days. One-hundred and seventy-eight admissions (26.5%) ended with in-hospital death and another 12.9% was transferred to hospice.

Can ER tell if you have cancer?

Yes, emergency room doctors can diagnose cancer. Below are some of the measure we at, Bellaire ER have put in place in to facilitate easy diagnosis of the disease in most of our emergency centres. The job of every doctor is to ensure that each of their patients gets proper medical care.

Can superior vena cava cause death?

SVC syndrome is a potentially life-threatening medical condition; however, it is not fatal in the majority of cases [2]. A retrospective literature review including 1986 patients with SVC syndrome between 1934 and 1984 reported only 1 death that could be directly attributed to SVC obstruction [2].

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How long can you live with superior vena cava syndrome?

The average life expectancy for patients who present with malignancy-related SVC syndrome is 6 months, although the prognosis is quite variable depending on the type of malignancy.

What are early signs of vena cava?

Superior vena cava syndrome consists of various symptoms due to compression of the SVC (Lepper et al., 2011). Early signs and symptoms include cough, dyspnea, hoarseness, chest pain, jugular vein distention, and edema of the hands, face, and/or neck.