Pathophysiological Aspects and Therapeutic Approaches of Tumoral Osteolysis and Hypercalcemia

  • J. P. Bonjour
  • R. Rizzoli
Conference paper
Part of the Recent Results in Cancer Research book series (RECENTCANCER, volume 116)

Abstract

Numerous malignant tumors can affect the skeleton and disturb the homeostasis of both calcium (Ca) and inorganic phosphate (Pi), the two main constituents of bone mineral (Rodman and Sherwood 1978; Mundy and Martin 1982). The clinical consequences of these disturbances can be dramatic on the degree of morbidity of cancer patients. Bone metastasis and osteolysis are a major source of pain, pathological fractures, and disability. Hypercalcemia is associated with nausea, vomiting, dehydration, mental disturbance, confusion, and eventually coma. The appropriate management of tumor-mediated bone osteolysis and hypercalcemia requires an appreciation of the various factors implicated in bone remodeling and in Ca homeostasis (Mundy and Roodman 1987; Bonjour et al. 1987).

Keywords

Lymphoma Dehydration Glucocorticoid Myeloma Bisphosphonates 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • J. P. Bonjour
    • 1
  • R. Rizzoli
    • 1
  1. 1.Division of Clinical Pathophysiology, Department of MedicineUniversity HospitalGeneva 4Switzerland

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