Case Report

Multifactorial Hypercalcemia and Literature Review on Primary Hyperparathyroidism Associated with Lymphoma

Table 2

The literature review of reported cases of hypercalcemia and malignancy.

StudyBasic study features Cause of hypercalcemia

Strodel et al. [9]18 patients with malignancy and hypercalcemiaAll patients had PHPT as the only cause of hypercalcemia.
Hutchesson et al. [10]47 patients with malignancy and hypercalcemia3 of 47 patients had PHPT as the cause of hypercalcemia. No cases of 2 causes of elevated calcium levels.
Owen et al. [11]2 cases of primary cutaneous lymphomas and hypercalcemiaBoth cases were found to have PHPT as the only cause of hypercalcemia
Albès et al. [12]A case of T-cell lymphoma and hypercalcemiaHypercalcemia caused by PHPT only
Aguilar-Bernier et al. [13]Lymphomatoid papulosisHypercalcemia caused by PHPT only
Gallacher et al. [14]Hypercalcemia did not resolve after removal of parathyroid adenoma which prompted further workup and the patient was found to have malignancy in the manubrium sterniOne case with two coexisting mechanisms of hypercalcemia—PHPT and PTHrP mediated
Luceri and Haenel [15]Hypercalcemia did not resolve after removal of parathyroid adenoma which prompted further workup and the patient was found to have diffuse large B-cell lymphomaOne case with two coexisting mechanisms of hypercalcemia—PHPT and 1,25-dihydroxyvitamin D mediated