Universität zu Köln

Grohe, Christian, Berardi, Rossanna and Burst, Volker (2015). Hyponatraemia-SIADH in lung cancer diagnostic and treatment algorithms. Crit. Rev. Oncol./Hematol., 96 (1). S. 1 - 9. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1879-0461

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Abstract

Lung cancer, in particular small cell lung cancer (SCLC), is a very aggressive solid tumour with limited therapeutic options to date. The majority of patients present, at the time of diagnosis, with extensive disease patterns and reduced performance status. Hyponatraemia is a common finding in SCLC (25%) which can be assigned to a paraneoplastic syndrome termed syndrome of inappropriate ADH secretion (SIADH) in 60% of cases. Hyponatraemia may cause significant and even dramatic neurocognitive deficits, if not treated in an effective manner. Palliative chemo- or radiotherapy is restricted to patients with good performance status and therapeutic adherence. Acute or persistent hyponatraemia may interfere with such treatment options and compromise outcome. This review integrates new diagnostic and therapeutic guidelines to improve the understanding how and when to treat hyponatrearnia in thoracic oncology patients Integrating early palliative care in lung cancer patients has a significant impact on prognosis. Correcting hyponatraemia in a supportive and risk stratified fashion may help to improve both prognosis and quality of life and should be a standard in modern palliative care for patients with lung cancer. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Grohe, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Berardi, Rossanna UNSPECIFIED UNSPECIFIED UNSPECIFIED Burst, Volker UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-391075
DOI:	10.1016/j.critrevonc.2015.04.005
Journal or Publication Title:	Crit. Rev. Oncol./Hematol.
Volume:	96
Number:	1
Page Range:	S. 1 - 9
Date:	2015
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1879-0461
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PROGNOSTIC-FACTORS; INAPPROPRIATE SECRETION; MANAGEMENT; DEMECLOCYCLINE; GUIDELINE; SURVIVAL Multiple languages Oncology; Hematology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39107