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Page 28 of 33                        Berardi et al. J Cancer Metastasis Treat 2019;5:79  I  http://dx.doi.org/10.20517/2394-4722.2019.008

               are based on retrospective or non-randomized studies such as case reports and case series, and based on
               clinical recommendations obtained by an Italian group of experts. A recent review analyzed dysnatremia,
               hypocalcemia, and hypercalcemia in cancer patients [165] . Our manuscript deepens understanding of the
               consequences of electrolytic disturbances on the outcome of cancer patients as well as the roles of ion
               channels in carcinogenesis. In addition, in this review, the electrolytic disturbances of four cations are
               analyzed, namely Na, K, Ca, and Mg, to try to offer diagnostic and therapeutic algorithms useful for patient
               management in clinical practice. Prospective studies are needed to improve the management of electrolyte
               disorders in cancer patients.



               DECLARATIONS
               Authors’ contributions
               Made substantial contributions to conception and design of the work: Berardi R
               Performed acquisition and analysis of data and have drafted the manuscript: Torniai M, Lenci E, Pecci F,
               Morgese F, Rinaldi S
               Revised the manuscript: Berardi R


               Availability of data and materials
               Not applicable.


               Financial support and sponsorship
               None.

               Conflicts of interest
               All authors declared that there are no conflicts of interest.


               Ethical approval and consent to participate
               Not applicable.

               Consent for publication
               Not applicable.

               Copyright
               © The Author(s) 2019.


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