Hypocalcemia associated with bone metastases in a patient with salivary-gland carcinoma
- PMID: 16462851
- DOI: 10.1038/ncponc0405
Hypocalcemia associated with bone metastases in a patient with salivary-gland carcinoma
Abstract
Background: A 70-year-old man presented with a smooth lump on his buccal mucosa and right-sided cervical lymphadenopathy. Staging investigations revealed extensive sclerotic bone metastases and the patient subsequently underwent palliative radiotherapy to the right face and cervical region. Seven months later he presented with a 4-day history of fatigue, muscle cramps, ataxia, paraesthesia, and blurred vision.
Investigations: Physical examination, biopsy of abnormal buccal mucosa, routine biochemistry, electrocardiogram, bone scan, CT scans of the chest, abdomen and pelvis, and MRI of the brain.
Diagnosis: Undifferentiated carcinoma of the salivary gland with sclerotic bone metastases and hypocalcemia.
Management: Palliative radiotherapy to the right face and cervical region, infusions of calcium gluconate and calcium chloride, oral calcium carbonate, vitamin D and magnesium, palliative chemotherapy (carboplatin and 5-fluorouracil), and whole brain radiotherapy.
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