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HYPERCALCEMIA OF MALIGNANT DISEASE: CASE REPORT AND A PROPOSED MECHANISM OF ETIOLOGY
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Renal PathologyPathologyDermatologyOsteoporosisBone DiseaseTotal Serum CalciumHyperthermiaGenitourinary CancerSurgical PathologyDiagnostic SciencesCancer ResearchMolecular OncologyMay 1961Health SciencesMedicineHistopathologyAdrenal DiseaseRadiologic ImagingMalignant DiseaseCase ReportUrologyTumoral PathologyMetabolic Bone DiseaseOncology
Case Reports1 May 1961HYPERCALCEMIA OF MALIGNANT DISEASE: CASE REPORT AND A PROPOSED MECHANISM OF ETIOLOGYGERALD E. STONE, M.D., CHRISTINE WATERHOUSE, M.D., F.A.C.P., ROGER TERRY, M.D.GERALD E. STONE, M.D.Search for more papers by this author, CHRISTINE WATERHOUSE, M.D., F.A.C.P.Search for more papers by this author, ROGER TERRY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-5-977 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHypercalcemia, as one of the manifestations of malignant disease, has become a well recognized phenomenon during recent years. In 1953 Woodard1reported that about nine per cent of patients with metastases to bones from primary sites other than the prostate showed elevations of total serum calcium. Myers2, 3has found high serum calcium levels frequently associated with carcinoma of the lung, breast, and kidney, in addition to multiple myeloma and the lymphomas. Other tumors that have been associated with hypercalcemia include malignant lesions of the stomach, cervix, urinary bladder, uterus, tonsils, cartilage, and neuroblastomas. As will be discussed later, the...Bibliography1. Woodard HO: Changes in blood chemistry associated with carcinoma metastatic to bone. Cancer 6: 1219-1227, 1953. CrossrefMedlineGoogle Scholar2. Myers WP: Hypercalcemia in neoplastic disease. Cancer 9: 1135-1140, 1956. CrossrefMedlineGoogle Scholar3. Myers WP: Hypercalcemia in neoplastic disease. Arch. Surg. 80: 308-318, 1960. CrossrefMedlineGoogle Scholar4. ThomasWiswellConnorHoward WCJGTBJE: Hypercalcemic crisis due to hyperparathyroidism. Amer. J. Med. 24: 229-239, 1958. CrossrefMedlineGoogle Scholar5. AbouavBerkowitzKolb JSBFO: Reversible hypercalcemia in masculinizing hypernephroid tumor of the ovary; report of a case. New Engl. J. Med. 260: 1057-1062, 1959. CrossrefMedlineGoogle Scholar6. AlbrightReifenstein FEC: The parathyroid glands and metabolic bone disease: selected studies. The Williams and Wilkins Co., Baltimore, 1948. Google Scholar7. Terry R: Alteration in calcium metabolism and bone associated with malignant tumors. Proc. N. Y. S. Ass. Public Health Lab. 38: 32, 1958. Google Scholar8. Sissons HA: Osteoporosis of Cushing's syndrome, in Bone as a tissue, p. 6, edited by Rodahl, Nicholson, and Brown, McGraw-Hill Book Company, Inc., New York, 1960. Google Scholar9. HollingerPattee HZCJ: A review of abnormal calcium and phosphorus metabolism. I. Hypercalcemia. Canad. Med. J. 75: 941-948, 1956. MedlineGoogle Scholar10. BurnettConnorsAlbrightHoward CHRRFJE: Hypercalcemia without hypercalcuria or hypophosphatemia, calcinosis, and renal insufficiency: syndrome following prolonged intake of milk and alkali. New Engl. J. Med. 240: 787-794, 1949. CrossrefMedlineGoogle Scholar11. PlimptonGellhorn CHA: Hypercalcemia in malignant disease without evidence of bone destruction. Amer. J. Med. 21: 750-759, 1956. CrossrefMedlineGoogle Scholar12. Case Records of the Massachusetts General Hospital (Case 43161). New Engl. J. Med. 256: 750-754, 1957. CrossrefMedlineGoogle Scholar13. Case Records of the Massachusetts General Hospital (Case 39061). New Engl. J. Med. 248: 248-254, 1953. CrossrefMedlineGoogle Scholar14. ConnorThomasHoward JBWCJE: The etiology of hypercalcemia associated with lung carcinoma. J. Clin. Invest. 35: 697, 1956. Google Scholar15. Lucas PF: Acute hypercalcemia from carcinomatosis without bone metastasis. Brit. Med. J. 1: 1330-1331, 1960. CrossrefMedlineGoogle Scholar16. LongcopeFreiman WTDG: A study of sarcoidosis. Medicine 31: 1-132, 1952. CrossrefMedlineGoogle Scholar17. AndersonDentHarperPhilpot JCECGR: Effect of cortisone on calcium metabolism of sarcoidosis with hypercalcemia: possibly antagonistic actions of cortisone and vitamin D. Lancet 2: 720-724, 1954. CrossrefGoogle Scholar18. HennemanCarrollDempsey PHELEF: Mechanism responsible for hypercalcuria in sarcoid. J. Clin. Invest. 33: 941, 1954. Google Scholar19. HennemanDempseyCarrollAlbright PHEFELF: Cause of hypercalcuria in sarcoid and its treatment with cortisone and sodium phytate. J. Clin. Invest. 35: 1229-1242, 1956. CrossrefMedlineGoogle Scholar20. Case Records of the Massachusetts General Hospital (Case 37091). New Engl. J. Med. 244: 333-339, 1951. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Rochester, New York*Received for publication August 26, 1960.From the Departments of Medicine and Pathology, University of Rochester School of Medicine and Dentistry, Rochester, N. Y.†This study was aided by Grant P-138 from the American Cancer Society.Dr. Stone is an Assistant in Medicine and Associate Resident in Medicine, Strong Memorial Hospital; Dr. Waterhouse is an Associate Professor of Medicine, University of Rochester School of Medicine and Dentistry; Dr. Terry is an Associate Professor of Pathology, University of Rochester School of Medicine and Dentistry.Requests for reprints should be addressed to Christine Waterhouse, M.D., Strong Memorial Hospital, 260 Crittenden Boulevard, Rochester 20, N. Y. 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TRUSCOTT, M.B., F.R.C.S.Hypercalcemia of breast cancer.management with corticosteroidsParathyroid Hormone-like Activity in a Renal Carcinoma Producing HypercalcemiaPseudohyperparathyroidism due to malignant tumorsCase 29-1964Renal adenocarcinoma containing a parathyroid hormone-like substance and associated with marked hypercalcemiaCase 21-1964Calcium Intoxication Due to Primary Hyperparathyroidism A Medical and Surgical EmergencyJACOB LEMANN JR., M.D., ANTHONY A. DONATELLI, M.D.Hypercalcemia in Malignant Disease Without Evidence of Bone DestructionHypercalcaemia in Renal CarcinomaA review of unusual systemic manifestations associated with carcinomaCarcinoma of the Kidney Simulating HyperparathyroidismCase 63-1963Derangements of calcium metabolism in patients with neoplastic bone involvementHepatic Carcinoma Simulating HyperparathyroidismHYPERCALCEMIA—DOUBLED CAUSES AND A DILEMMAE. J. H. 1 May 1961Volume 54, Issue 5Page: 977-985KeywordsCalciumDentistryHospital medicineHypercalcemiaLymphomaMultiple myelomaNeuroblastomaStomachTonsilsUterus ePublished: 1 December 2008 Issue Published: 1 May 1961 PDF downloadLoading ...
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