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[Systematic action-Emergencies in systemic cancer therapy!]

Martin Bögemann1

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Urologists must manage emergencies from new systemic cancer therapies, including chemotherapy and targeted drugs. Understanding adverse events and emergency management is crucial for patient care in uro-oncology.

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Area of Science:

  • Oncology
  • Urology
  • Pharmacology

Background:

  • Diverse systemic therapies for urologic cancers have emerged, including chemotherapy, targeted therapies, and radioligand therapies.
  • Urologists frequently encounter adverse events from these treatments, necessitating updated knowledge.
  • The continuous development of new drugs and drug classes requires ongoing education for managing associated toxicities.

Purpose of the Study:

  • To provide a comprehensive overview of common emergency situations in genitourinary cancers.
  • To outline the essential management strategies for these emergencies.

Main Methods:

  • A summary of frequently observed emergency situations linked to systemic therapy in uro-oncology.
  • Review of critical adverse events and their clinical implications.

Main Results:

  • Urologists need expertise in managing neutropenic fever during chemotherapy and hand-foot syndrome with tyrosine kinase inhibitors.
  • Knowledge of immune-related adverse events and side effects from radioligand therapies is essential.
  • Effective management requires understanding emergencies regardless of who administers the therapy.

Conclusions:

  • Fundamental knowledge of side effects and emergencies associated with genitourinary cancer treatments is imperative.
  • Continuous medical education is mandatory to address advancements in systemic uro-oncology therapies.
  • Urologists must be prepared to manage a wide spectrum of adverse events and emergencies.