Oral squamous cell carcinoma with hypercalcemia: a series of 10 cases
-
- KYOMOTO Hiroyuki
- Department of Dentistry and Oral Surgery, Saiseikai Nakatsu Hospital
-
- TAKITA Masaaki
- Department of Dentistry and Oral Surgery, Saiseikai Nakatsu Hospital
-
- TSUKAGUCHI Masashi
- Department of Dentistry and Oral Surgery, Saiseikai Nakatsu Hospital
-
- NISHIKAWA Noriyoshi
- Department of Dentistry and Oral Surgery, Saiseikai Nakatsu Hospital
-
- SUGIMASA Motoo
- Department of Dentistry and Oral Surgery, Saiseikai Nakatsu Hospital
-
- YONEDA Toshiyuki
- Department of Molecular and Cellular Biochemistry, Osaka University Graduate School of Dentistry
Bibliographic Information
- Other Title
-
- 高カルシウム血症を随伴した口腔扁平上皮癌の10例
- コウカルシウム ケツショウ オ ズイハンシタ コウクウ ヘンペイ ジョウヒガン ノ 10レイ
Search this article
Abstract
Ten cases of terminal oral squamous cell carcinoma with hypercalcemia are presented to provide a perspective on palliative medicine. The initial primary site was the tongue in 6 patients and the gingiva in 4, including one case with delayed occurrence of multiple oral cancers (lower gingiva, tongue, and palate). There were 6 men and 4 women, with a mean age of 57.4 years (29-80 years). Serum calcium levels ranged from 10.8 to 17.1mg/dl (mean 13.05±2.07mg/dl). The serum parathyroid hormone-related protein level was above the normal range in 9 of the patients. Mean survival from the onset of hypercalcemia was 68.6 days (13-209 days), except for 1 patient who died on the day of diagnosis. The causes of death were respiratory failure in 8 patients and hemorrhage in 2 both of which are common causes of death in patients with oral cancer. There were no deaths due to kidney failure caused by hypercalcemia. For treatment, excluding the patient who died on the day of diagnosis, bisphosphonates were given at 2-week intervals. In patients who received palliative therapy against recurrence, delayed lymph node metastasis, or both bisphosphonate treatment improved the main symptoms, including nausea, vomiting, and anorexia. Furthermore, oral ingestion of food, feeding-tube nutrition, or both could be continued longer in the 7 patients (maximal survival: 209 days) who received palliative therapy than in the 3 who underwent aggressive treatment (radical neck dissection combined with high-dose radiation therapy. These latter patients had large areas of necrosis in the neck extending to the soft tissue or orofacial-neck lymphedema.)(mean survival: 13.7 days). Our findings in this series suggest that the survival time of patients with oral squamous cell carcinoma who have hypercalcemia depends on the aggressiveness of treatment, which is considered a cause of malnutrition, before the onset of hypercalcemia.
Journal
-
- Japanese Journal of Oral and Maxillofacial Surgery
-
Japanese Journal of Oral and Maxillofacial Surgery 53 (2), 98-102, 2007
Japanese Society of Oral and Maxillofacial Surgeons
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390001206533093760
-
- NII Article ID
- 10018858438
-
- NII Book ID
- AN00189163
-
- ISSN
- 21861579
- 00215163
-
- NDL BIB ID
- 8722461
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed