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Open AccessJournal ArticleDOI

Hypercalcemia and cancer: Differential diagnosis and treatment.

TLDR
The initial workup, differential diagnoses, confirmatory laboratory testing, imaging, and medical and surgical management of hypercalcemia are described in the patient with cancer.
Abstract
Incidentally detected hypercalcemia usually presents in an indolent manner and is most likely caused by primary hyperparathyroidism. In contrast, hypercalcemia in the patient with a history of cancer presents in a wide range of clinical settings and may be severe enough to warrant hospitalization. This form of hypercalcemia is usually secondary to hypercalcemia of malignancy and can be fatal. Hypercalcemia of malignancy is most commonly mediated by tumoral production of parathyroid hormone-related protein or by cytokines activating osteoclast degradation of bone. The initial workup, differential diagnoses, confirmatory laboratory testing, imaging, and medical and surgical management of hypercalcemia are described in the patient with cancer.

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Hipercalcemia maligna: características clínicas y factores asociados a su presentación en un centro oncológico de referencia nacional análisis de casos y controles fase I

TL;DR: El sexo femenino, los valores de albumina normales y el indice ofsky de 70 o mas se comportaron como factores protectores asociados a la presentacion de hipercalcemia maligna mientras que the presencia of metastasis es un factor de riesgo.
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Title Changes in the Mineral Composition of Rat Femoral Bones Induced by Implantation of LNCaP Prostate Cancer Cells and Dietary Supplementation.

TL;DR: In this paper, the effect of chronic dietary intake of calcium, iron and zinc, administered in doses corresponding maximally to twice their level in a standard diet, on homeostasis of selected elements (Ca, K, Zn, Fe, Cu, Sr, Ni, Co, Mn and Mo) in the femoral bones of healthy rats and rats with implanted cancer cells of the LNCaP line.
Journal ArticleDOI

Calcium selective optical sensor based on calmodulin functionalized porous silicon

TL;DR: In this paper, an optical calcium sensor is fabricated using calmodulin surface functionalized macro-porous silicon, which shows effective selectivity and multi-parametric optical response for calcium ions.
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Imaging features of hypercalcemia: A primer for emergency radiologists.

TL;DR: A review of common and uncommon etiologies of hypercalcemia, details their underlying mechanisms, and identifies the most important associated imaging findings can be found in this paper, where the authors suggest that it is important for radiologists to be familiar with these etiology and imaging findings, particularly in the emergency setting since hypercalcmia may represent the only significant laboratory abnormality associated with the presenting condition.
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Cancer Cachexia: Its Mechanism and Clinical Significance.

TL;DR: A review of the current status of cachexia, the mechanisms of which have been elucidated in recent years, especially from the perspective of advanced cancer, can be found in this paper.
References
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Journal ArticleDOI

Bisphosphonates promote apoptosis in murine osteoclasts in vitro and in vivo

TL;DR: Osteoclast apoptosis may be a major mechanism whereby bisphosphonates reduce osteoclast numbers and activity, and induction of apoptosis could be a therapeutic goal for new antiosteoclast drugs.
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Clinical practice. Hypercalcemia associated with cancer.

TL;DR: A 47-year-old woman with a history of breast cancer presents with confusion and dehydration and bone scintigraphy reveals no evidence of skeletal involvement by the tumor.
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Zoledronic Acid Is Superior to Pamidronate in the Treatment of Hypercalcemia of Malignancy: A Pooled Analysis of Two Randomized, Controlled Clinical Trials

TL;DR: Zoledronic acid is superior to pamidronate; 4 mg is the dose recommended for initial treatment of HCM and 8 mg for relapsed or refractory hypercalcemia.
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Denosumab and bisphosphonates: different mechanisms of action and effects.

TL;DR: It is suggested that the key pharmacological differences between denosumab and the bisphosphonates reside in the distribution of the drugs within bone and their effects on precursors and mature osteoclasts, which may explain differences in the degree and rapidity of reduction of bone resorption, their potential differential effects on trabecular and cortical bone, and the reversibility of their actions.
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