What causes hypercalcemia of malignancy?
The pathophysiology of hypercalcemia of malignancy is mainly through three mechanisms: excessive secretion of parathyroid hormone-related protein (PTHrP), bony metastasis with the release of osteoclast activating factors, and production of 1,25-dihydroxy vitamin D (calcitriol).
What do you mean by hypercalcemia of malignancy?
Hypercalcemia of malignancy is a common finding typically in patients with advanced stage cancers. Hypercalcemia of malignancy usually presents with markedly elevated calcium levels and patients are therefore usually severely symptomatic.
What are common signs and symptoms of hypercalcemia of malignancy?
If you do have symptoms, they may includes:
- Loss of appetite.
- Nausea and vomiting.
- Constipation and abdominal (belly) pain.
- The need to drink more fluids and urinate more.
- Tiredness, weakness, or muscle pain.
- Confusion, disorientation, and difficulty thinking.
What kind of cancer causes hypercalcemia?
The most common cancers associated with hypercalcemia in the United States are breast, renal, and lung cancer and multiple myeloma . Malignancy is usually evident clinically by the time it causes hypercalcemia, and patients with hypercalcemia of malignancy often have a poor prognosis.
What is the first line treatment for hypercalcemia?
Intravenous bisphosphonates are the treatment of first choice for the initial management of hypercalcaemia, followed by continued oral, or repeated intravenous bisphosphonates to prevent relapse.
What is the most common cause of hypercalcemia?
The most common causes of hypercalcemia are primary hyper-parathyroidism and malignancy. Some other important causes of hypercalcemia are medications and familial hypocalciuric hypercalcemia.
Should I worry if my calcium is high?
High blood calcium can lead to many serious health problems and should almost always be treated with an operation to remove the parathyroid tumor. Over 99% of all cases of high calcium in the blood are due to a small tumor on one of the parathyroid glands causing a disease called primary hyperparathyroidism.
What drug is used for hypercalcemia of malignancy?
Ibandronate – Ibandronate effectively treats hypercalcemia of malignancy. In combined trials with over 320 patients, ibandronate doses of 2 mg IV administered over two hours normalized serum calcium in up to 67 percent of patients, and doses up to 6 mg were safe and well tolerated [40,41].
Can hypercalcemia be cured?
Treatment is aimed at the cause of hypercalcemia whenever possible. People with primary hyperparathyroidism (PHPT) may need surgery to remove the abnormal parathyroid gland. This will cure the hypercalcemia. People with mild hypercalcemia may be able to monitor the condition closely over time without treatment.
How do I get my calcium levels down?
- Drinking plenty of water. Staying hydrated may lower blood calcium levels, and it can help to prevent kidney stones.
- Quitting smoking. Smoking can increase bone loss. …
- Exercising and strength training. This promotes bone strength and health.
- Following guidelines for medications and supplements.
Is hypercalcemia a chronic condition?
Mario Skugor, MD. Hypercalcemia is a common clinical problem that typically leads to a chronic and mild elevation of calcium blood levels. Hypercalcemic emergencies are possible but uncommon. Most cases are caused either by primary hyperparathyroidism (HPT) or malignancy.
What are the signs and symptoms of parathyroid disease?
Parathyroid Disease Symptoms
- A lump in the neck.
- Difficulty speaking or swallowing.
- Muscle weakness.
- Sudden increase in blood calcium levels (hypercalcemia)
- Fatigue, drowsiness.
- Urinating more than usual, which may cause you to be dehydrated and very thirsty.
- Bone pain and broken bones.
- Kidney stones.