Hypercalcemia in carcinoma of the breast without evidence of bone destruction: Beneficial effect of hormonal therapy

A premenopausal woman with soft tissue metastases from a carcinoma of the breast developed hypercalcemia with hypophosphatemia, reduced tubular reabsorption of phosphate, elevated urinary cyclic AMP levels and normal serum PTH levels. During the course of the disease, metastatic pleural effusion whi...

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Veröffentlicht in:Cancer 1981-12, Vol.48 (11), p.2383-2385
Hauptverfasser: Sztern, Mario, Barkan, Ariel, Marilus, Raphael, Blum, Ilana, Rakowsky, Erika, Shainkin‐Kestenbaum, Ruth
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container_end_page 2385
container_issue 11
container_start_page 2383
container_title Cancer
container_volume 48
creator Sztern, Mario
Barkan, Ariel
Marilus, Raphael
Blum, Ilana
Rakowsky, Erika
Shainkin‐Kestenbaum, Ruth
description A premenopausal woman with soft tissue metastases from a carcinoma of the breast developed hypercalcemia with hypophosphatemia, reduced tubular reabsorption of phosphate, elevated urinary cyclic AMP levels and normal serum PTH levels. During the course of the disease, metastatic pleural effusion which contained high PTH levels was observed. Hormonal therapy with testosterone followed by tamoxifen induced normalization of her serum calcium concomitant with the disappearance of the pleural effusion and reduction in the size of her lung metastases. The correlation between the efficacy of antitumor treatment on pleural effusion, lung metastases, and normalization of serum calcium, as well as the elevated PTH level in the pleural effusion, suggest that this breast carcinoma secreted a PTH‐like substance.
doi_str_mv 10.1002/1097-0142(19811201)48:11<2383::AID-CNCR2820481108>3.0.CO;2-N
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subjects Adult
Breast Neoplasms - complications
Breast Neoplasms - metabolism
Female
Hormones, Ectopic - biosynthesis
Humans
Hypercalcemia - drug therapy
Hypercalcemia - etiology
Lung Neoplasms - drug therapy
Lung Neoplasms - secondary
Parathyroid Hormone - metabolism
Pleural Effusion - drug therapy
Pleural Effusion - etiology
Tamoxifen - therapeutic use
Testosterone - therapeutic use
title Hypercalcemia in carcinoma of the breast without evidence of bone destruction: Beneficial effect of hormonal therapy
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