Tumour lysis in newborn: spontaneous or secondary to antenatal steroids?

BMJ Case Rep. 2018 Apr 4:2018:bcr2017223107. doi: 10.1136/bcr-2017-223107.

Abstract

Malignancies are rare in the early neonatal period. Common congenital tumours include malignant teratoma and neuroblastomas. Tumour lysis syndrome is a serious condition usually seen after commencement of chemotherapy for a malignancy. Rare case reports of spontaneous tumour lysis have been reported though not in the newborn period. We report here an instance of tumour lysis syndrome in a newborn with congenital rhabdoid tumour, where the cause was either spontaneous or related to antenatal steroid exposure.

Keywords: fluid electrolyte and acid-base disturbances; neonatal and paediatric intensive care; paediatric oncology.

Publication types

  • Case Reports

MeSH terms

  • Betamethasone / administration & dosage*
  • Betamethasone / adverse effects*
  • Fatal Outcome
  • Female
  • Glucocorticoids / administration & dosage*
  • Glucocorticoids / adverse effects*
  • Humans
  • Infant, Newborn
  • Rhabdoid Tumor / congenital
  • Rhabdoid Tumor / diagnostic imaging
  • Rhabdoid Tumor / pathology*
  • Tumor Lysis Syndrome / diagnosis*
  • Tumor Lysis Syndrome / etiology*
  • Tumor Lysis Syndrome / therapy

Substances

  • Glucocorticoids
  • Betamethasone