Prolonged Hypercalcemia Following Resection of Dysgerminoma: A Case Report

Background. Hypercalcemia is a rare but potentially dangerous complication of pediatric cancer. Of the dysgerminoma cases reported to date, associated hypercalcemia is corrected within 2–7 days of tumor resection. Case. A 13-year-old female with an ovarian dysgerminoma was found to be hypercalcemi...

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Main Authors: Abigail Wald, Sumana Narasimhan, Lucybeth Nieves-Arriba, Steven Waggoner
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2009/956935
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author Abigail Wald
Sumana Narasimhan
Lucybeth Nieves-Arriba
Steven Waggoner
author_facet Abigail Wald
Sumana Narasimhan
Lucybeth Nieves-Arriba
Steven Waggoner
author_sort Abigail Wald
collection DOAJ
description Background. Hypercalcemia is a rare but potentially dangerous complication of pediatric cancer. Of the dysgerminoma cases reported to date, associated hypercalcemia is corrected within 2–7 days of tumor resection. Case. A 13-year-old female with an ovarian dysgerminoma was found to be hypercalcemic on presentation. Following dysgerminoma resection, moderate hypercaclemia persisted for 7 days and calcium remained mildly elevated for an additional 7 days. PTHrP was undetectable. Immunolocalization studies indicated that 1𝛼-hydroxylase was expressed in dysgerminoma tissue but 1,25(OH)2D3 was not elevated. Conclusion. Persistently elevated calcium levels following tumor resection suggests that this case involves a previously undescribed mechanism. Elucidation of this mechanism may offer new insights into tumor biology and opportunities for therapeutic correction of hypercalcemia in this patient population.
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spelling doaj-art-c42077794cfa4e30bbb38a2bc6cb011d2025-02-03T06:01:19ZengWileyObstetrics and Gynecology International1687-95891687-95972009-01-01200910.1155/2009/956935956935Prolonged Hypercalcemia Following Resection of Dysgerminoma: A Case ReportAbigail Wald0Sumana Narasimhan1Lucybeth Nieves-Arriba2Steven Waggoner3Department of Pediatric Endocrinology, Rainbow Babies & Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USADepartment of Pediatric Endocrinology, Rainbow Babies & Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USADepartment of Gynecological Oncology, University Hospitals, 11100 Euclid Avenue, Cleveland, OH 44106, USADepartment of Gynecological Oncology, University Hospitals, 11100 Euclid Avenue, Cleveland, OH 44106, USABackground. Hypercalcemia is a rare but potentially dangerous complication of pediatric cancer. Of the dysgerminoma cases reported to date, associated hypercalcemia is corrected within 2–7 days of tumor resection. Case. A 13-year-old female with an ovarian dysgerminoma was found to be hypercalcemic on presentation. Following dysgerminoma resection, moderate hypercaclemia persisted for 7 days and calcium remained mildly elevated for an additional 7 days. PTHrP was undetectable. Immunolocalization studies indicated that 1𝛼-hydroxylase was expressed in dysgerminoma tissue but 1,25(OH)2D3 was not elevated. Conclusion. Persistently elevated calcium levels following tumor resection suggests that this case involves a previously undescribed mechanism. Elucidation of this mechanism may offer new insights into tumor biology and opportunities for therapeutic correction of hypercalcemia in this patient population.http://dx.doi.org/10.1155/2009/956935
spellingShingle Abigail Wald
Sumana Narasimhan
Lucybeth Nieves-Arriba
Steven Waggoner
Prolonged Hypercalcemia Following Resection of Dysgerminoma: A Case Report
Obstetrics and Gynecology International
title Prolonged Hypercalcemia Following Resection of Dysgerminoma: A Case Report
title_full Prolonged Hypercalcemia Following Resection of Dysgerminoma: A Case Report
title_fullStr Prolonged Hypercalcemia Following Resection of Dysgerminoma: A Case Report
title_full_unstemmed Prolonged Hypercalcemia Following Resection of Dysgerminoma: A Case Report
title_short Prolonged Hypercalcemia Following Resection of Dysgerminoma: A Case Report
title_sort prolonged hypercalcemia following resection of dysgerminoma a case report
url http://dx.doi.org/10.1155/2009/956935
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AT stevenwaggoner prolongedhypercalcemiafollowingresectionofdysgerminomaacasereport