Hypercalcemia of Malignancy - Pathophysiology
PTH-mediated
• Parathyroid cancer
• Ectopic production: Small cell lung cancer, ovarian cancer, pancreatic cancer, thymoma, Rhabdomyosarcoma, papillary adenocarcinoma of thyroid
Vitamin D mediated 1,25 - dihydroxyvitamin D - Increased renal and intestinal calcium absorption and stimulates resorption in the bone
• Lymphomas
PTHrp Mediated - Stimulate calcium reabsorption in kidney, Stimulates resorption in the bone
• Squamous Cell of lung, Renal Cell, Breast Cancer, HTLV-I lymphoma
- Dr. Kenar Jhaveri @kdjhaveri
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