An 83-year-old patient with a history of hypertension and a mixed endometrial carcinoma, endometrioid carcinoma and clear cell carcinoma, in stage T1N0M0, which was detected one year prior to the current admission due to the disease.
The patient underwent hysterectomy with bilateral adnexectomy and pelvic lymphadenectomy, completing the treatment with adjuvant brachytherapy, which was completed 5 months before the current admission.
He attended outpatient gynecologic consultations and was free of disease.
Upon admission, the patient presented progressive asthenia, weakness for two weeks, disorientation and anorexia with a 2-day history of constipation, polyuria, nocturia and polydipsia.
In a control laboratory of his primary care center, he had calcemia of 15.35 mg/dL (reference values [r.v.] between 8.8 mg/dL and 10.2 mg/dL).
In the emergency department, laboratory tests showed a calcemia of 16.1 mg/dL with ionic calcium of 6.3 mg/dL (r.v. between 4.2 mg/dL and 5.4 mg/dL normal abdominal X-ray), with normal
The patient was diagnosed with hypercalcemic syndrome and treated with rehydration, intravenous zoledronate and furosemide. Calcemia decreased to normal levels between the third and sixth day of treatment 3, 4.
The patient was admitted to the internal medicine ward where the following were observed: SGA 106 mm/h, albumin 3.16 g/dL, PTH 21.5 pg/mL (r.v. between 7 pg/mL and 259.9 ng/mL).
personal history of uterine neoplasia of the patient was requested a normal bone scintigraphy, and a thoracic and abdominal CT showing a douglas sac mass of 10 cm peritoneal x 8 cm with tumor lung metastases
A transvaginal biopsy of the douglas cul-de-sac mass was performed and confirmed a recurrence of the disease.
The patient is currently in a palliative care center.
