Terapia oncologică de urgență la animalele de companie partea I

Abstract

The emergency situation in oncology can be defined as a pathological condition determined by the clinical evolution of cancerous paraneoplastic syndromes or a consequence of the chemotherapy disease. Assessing the diagnosis and performing specific therapy should be rapid and address the syndromes in order of their severity. The diagnosis of the oncology patient's emergency must be determined in order of priority and type of emergency: Morphological or obstructive paraneoplastic syndromes are caused by solid tumors with organ and / or metabolic compression caused by functional failure of tissues or organs. Chemotherapy disease toxicity induced through iatropathy following administration of chemotherapy medication. The objectives in solving oncological emergencies are diagnosis of the cause, clinical and paraclinical evaluation and very rapid therapy. Paraneoplastic syndromes may be due only to primary or associated tumors of lymphnode invasion, visceral metastases, or maybe the consequence of established therapies: surgical, chemotherapy, hormonal. Oncology emergency may be aggravated by pre-existing liver disease, kidney disease, hematologic disease, neurological disease, disease evolution or therapy associated. The urgency of oncological therapy is to control pain, restore blood volum, to amend the paraneoplastic symptoms and eventually restore the morphostructural palliative integrity of affected tissues. The choice of therapeutic strategy and the combination of techniques and methods is made personalized according to the clinical condition of the oncology patient at the time of diagnosis by anamnesis, general physical examination evaluation, TNM clinical staging, monitoring of vital functions, histopathological type and appreciation of the response to the therapies already performed.