Hypercalcemia associated with adenosquamous pancreatic carcinoma: A reason to initiate palliative treatment

被引:0
作者
Lopez-Tomassetti-Fernandez, Eudaldo M. [1 ]
Favre-Rizzo, Julian [1 ]
Delgado-Plasencia, Luciano [2 ]
Ramon Hernandez-Hernandez, Juan [1 ]
机构
[1] Hosp Univ Insular Gran Canaria, Dept Gastrointestinal Surg, Las Palmas Gran Canaria 35016, Spain
[2] Hosp Univ Canarias, Dept Gastrointestinal Surg, Tenerife, Spain
关键词
Adenosquamous carcinoma; Pancreatic malignancy; Humoral hypercalcemia; HORMONE-RELATED PROTEIN; CANCER; MALIGNANCY; ANTIBODY; CACHEXIA;
D O I
10.4321/S1130-01082013000700009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: hypercalcemia in patients with diagnosed carcinoma has predominantly a humoral basis mediated by parathyroid hormone-related protein (PTH-rP). Among the reported cases, hypercalcemia associated with the majority of abdominal malignancies indicates an advanced stage of disease. Case report: we present a case of a 78-year-old patient with an adenosquamous pancreatic carcinoma associated with humoral hypercalcemia mediated by PTH-rP. Conclusion: in this case, demonstration of unexpectantly rapid increase in calcium serum correlated with aggressive tumor growth led us to raise the hypothesis that PTH-rP could be a mediator of invasion and dissemination secreted by some tumors, and probably indicates the appropriate time to initiate palliative treatment.
引用
收藏
页码:425 / 428
页数:4
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