title: Hypercalcemia as Initial Presentation of Metastatic Adenocarcinoma of Gastric Origin: A Case Report and Review of the Literature.
abstract: Hypercalcemia of malignancy due to metastatic gastric adenocarcinoma is extremely rare; in fact, to the best of our knowledge, only three case reports of hypercalcemia associated with metastatic gastric adenocarcinoma have been published in the literature to date. Herein, we report a rare case involving a 61-year-old African-American female who had hypercalcemia at initial presentation and who was later diagnosed with poorly differentiated gastric adenocarcinoma with extensive liver metastases, without bone involvement. She was found to have elevated parathyroid hormone-related peptide and normal parathyroid hormone levels. Despite aggressive treatment, she died within a few months of diagnosis.
authors.affiliation: Department of Hematology-Oncology, Saint Joseph's Regional Medical Center at New York Medical College, Paterson, NJ, USA.
authors.forename: Mehandar
authors.initials: M
authors.lastname: Kumar
authors.affiliation: Department of Hematology-Oncology, Saint Joseph's Regional Medical Center at New York Medical College, Paterson, NJ, USA.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Kumar
authors.affiliation: Department of Hematology-Oncology, Saint Joseph's Regional Medical Center at New York Medical College, Paterson, NJ, USA.
authors.forename: Vinod
authors.initials: V
authors.lastname: Kumar
authors.affiliation: Department of Hematology-Oncology, Saint Joseph's Regional Medical Center at New York Medical College, Paterson, NJ, USA.
authors.forename: Supreet
authors.initials: S
authors.lastname: Kaur
authors.affiliation: Department of Hematology-Oncology, Saint Joseph's Regional Medical Center at New York Medical College, Paterson, NJ, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Maroules
keywords: Humoral hypercalcemia of malignancy; Metastatic gastric adenocarcinoma; Neoplosm metastasis; Parathyroid hormone-related peptide