Oncological Emergencies Dr. Gary Harding md, frcpc

Treatment of Oncologic Causes

Treatment

• Aimed at underlying cause

• Evolution of thought has occurred in recent years

Historically SVC syndrome was considered a potentially life-threatening emergency

• Historically SVC syndrome was considered a potentially life-threatening emergency

• Standard of care was immediate radiotherapy

• Zap now
• Ask questions later

• The emergent approach is not appropriate for most patients

Newer strategies

Emergent to Urgent

• Symptomatic obstruction is usually a prolonged process

• Most patients are not in immediate danger at presentation

• Most have time for a full diagnostic work up