“… 54 , 72 , 85 There have also been a number of cases of sTLS occurring during manipulation of tumors. sTLS has been noted to directly follow intra-abdominal lymphoma debulking, 86 endoscopic retrograde cholangiopancreatography (ERCP) with gastric neuroendocrine tumor biopsy, 35 open cholecystectomy with wedge liver biopsy of metastatic neuroendocrine carcinoma, 21 resection of pediatric hepatoblastoma 87 and nephroblastoma, 88 and pediatric lymphoma staging laparotomy. 89 Hepatic transarterial embolization for hepatic metastases of a neuroendocrine tumor was also associated with TLS in 1 case, 76 and a temporal relationship has been observed between TLS and both sustained high fever 90 and anesthesia administration 91 in pediatric patients.…”