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10.1159/000485242

http://scihub22266oqcxt.onion/10.1159/000485242
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C5836159!5836159!29515400
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suck abstract from ncbi


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pmid29515400      Case+Rep+Oncol 2017 ; 10 (3): 1085-91
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  • Lactic Acidosis in Prostate Cancer: Consider the Warburg Effect #MMPMID29515400
  • van der Mijn JC; Kuiper MJ; Siegert CE; Wassenaar AE; van Noesel CJ; Ogilvie AC
  • Case Rep Oncol 2017[Sep]; 10 (3): 1085-91 PMID29515400show ga
  • Lactic acidosis is a commonly observed clinical condition that is associated with a poor prognosis, especially in malignancies. We describe a case of an 81-year-old patient who presented with symptoms of tachypnea and general discomfort. Arterial blood gas analysis showed a high anion gap acidosis with a lactate level of 9.5 mmol/L with respiratory compensation. CT scanning showed no signs of pulmonary embolism or other causes of impaired tissue oxygenation. Despite treatment with sodium bicarbonate, the patient developed an adrenalin-resistant cardiac arrest, most likely caused by the acidosis. Autopsy revealed Gleason score 5 + 5 metastatic prostate cancer as the most probable cause of the lactic acidosis. Next-generation sequencing indicated a nonsense mutation in the TP53 gene (887delA) and an activating mutation in the PIK3CA gene (1634A>G) as candidate molecular drivers. This case demonstrates the prevalence and clinical relevance of metabolic reprogramming, frequently referred to as ?the Warburg effect,? in patients with prostate cancer.
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