Severe Hypocalcemia in a Patient with Recurrent Chondrosarcoma

Hypocalcemia is relatively uncommon paraneoplastic syndrome. Only one case of hypocalcemia has been reported in a patient with chondrosarcoma. We herein report a case of a 32-year-old woman with metastatic chondrosarcoma with tetany. Her imaging findings revealed multiple calcific metastatic lesions in the lungs, pancreas, left atrium, and pulmonary vein. A laboratory examination showed hypocalcemia with no evidence of any other disease that could induce hypocalcemia. On the basis of the laboratory and clinical findings, we concluded the etiology of her severe hypocalcemia to be excessive calcium consumption by the tumor itself.

[1]  Rafia Afzal,et al.  Sphenoidal intracranial chondrosarcoma. , 2014, Journal of the College of Physicians and Surgeons--Pakistan : JCPSP.

[2]  N. Fallah-rad,et al.  Managing hypercalcaemia and hypocalcaemia in cancer patients , 2013, Current opinion in supportive and palliative care.

[3]  Yang Yao,et al.  Incidence and risk of denosumab-related hypocalcemia in cancer patients: a systematic review and pooled analysis of randomized controlled studies , 2013, Current medical research and opinion.

[4]  P. Picci,et al.  Clinical outcome of central conventional chondrosarcoma , 2012, Journal of surgical oncology.

[5]  N. Maalouf,et al.  Bisphosphonate-induced hypocalcemia: report of 3 cases and review of literature. , 2006, Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists.

[6]  A. F. Stewart Hypercalcemia Associated with Cancer , 2005 .

[7]  H. Jemel,et al.  Mesenchymal extraskeletal chondrosarcoma of the orbit. Report of a case and review of the literature. , 1999, Surgical neurology.

[8]  R. Armonda,et al.  Mesenchymal chondrosarcoma: A clinicopathologic and flow cytometric study of 13 cases presenting in the central nervous system , 1995, Cancer.

[9]  V. De Maertelaer,et al.  Hypocalcemia after thyroidectomy. , 1992, Archives of surgery.

[10]  J. Godwin,et al.  Calcification in pulmonary metastases. , 1982, The British journal of radiology.

[11]  R. Smallridge,et al.  Hypocalcemia with osteoblastic metastases in patient with prostate carcinoma. A cause of secondary hyperparathyroidism. , 1981, The American journal of medicine.

[12]  O. Beahrs,et al.  Medullary carcinoma of the thyroid gland , 1975, Cancer.

[13]  Richard Relkin Hypocalcemia resulting from calcium accretion by a chondrosarcoma , 1974, Cancer.

[14]  A. Tashjian,et al.  Medullary carcinoma of the thyroid gland. Studies of thyrocalcitonin in plasma and tumor extracts. , 1968, The New England journal of medicine.

[15]  S. Lindsay,et al.  Medullary carcinoma of the thyroid gland. , 1965, Archives of pathology.

[16]  M. Sackner,et al.  Hypocalcemia in the presence of osteoblastic metastases. , 1960, The New England journal of medicine.