Acute lymphocytic leukemia in adolescence with multiple osteolytic lesions and hypercalcemia mediated by lymphoblast-producing parathyroid hormone-related peptide: A case report and review of the literature

2005 ◽  
Vol 45 (3) ◽  
pp. 333-339 ◽  
Author(s):  
Hidemi Shimonodan ◽  
Jun Nagayama ◽  
Yoshihisa Nagatoshi ◽  
Michiki Hatanaka ◽  
Akiko Takada ◽  
...  
2015 ◽  
Vol 11 (2) ◽  
pp. 1143-1145 ◽  
Author(s):  
DANYI XU ◽  
GUANHUA XU ◽  
LIQIN XU ◽  
HENG CAO ◽  
BEI XU ◽  
...  

2017 ◽  
Vol 10 (1) ◽  
pp. 123-126 ◽  
Author(s):  
Naoki Watanabe ◽  
Hajime Yasuda ◽  
Soji Morishita ◽  
Yasuo Aota ◽  
Junichi Tomomatsu ◽  
...  

Humoral hypercalcemia due to parathyroid hormone-related peptide (PTHrP) elevation is a well-known complication of various malignancies, but the situation is rare concerning hematological malignancies except for adult T-cell leukemia/lymphoma. We report a case of Richter’s syndrome with humoral hypercalcemia, and demonstrate by reverse transcription polymerase chain reaction (RT-PCR) that peripheral blood PTHrP levels were 2,500-fold higher compared to healthy controls. PTHrP production by tumor cells in chronic lymphocytic leukemia (CLL) and Richter’s syndrome has been previously demonstrated by nonquantitative methods such as immunohistochemistry and northern blot analysis, but this is the first report using the RT-PCR method. The presented case did not have hypercalcemia when initially diagnosed as small lymphocytic lymphoma (SLL), and as reported earlier, the development of hypercalcemia may be an indication of the transformation to Richter’s syndrome in patients with CLL/SLL.


2014 ◽  
Vol 100 (4) ◽  
pp. e153-e156 ◽  
Author(s):  
Roberta Elisa Rossi ◽  
Keval Naik ◽  
Shaunak Navalkissoor ◽  
Charles Imber ◽  
James O'Beirne ◽  
...  

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