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Published in: Medical Oncology 3/2010

01-09-2010 | Original Paper

Recovery of paraneoplastic hypercalcemia by sunitinib treatment for renal cell carcinoma: a case report and review of the literature

Authors: Halit Karaca, Ayhan Lale, Mustafa Dikilitas, Metin Ozkan, Ozlem Er

Published in: Medical Oncology | Issue 3/2010

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Abstract

Sunitinib is a novel oral multitargeted tyrosine kinase inhibitor. İt has higher response rates and progression-free survival in patients with metastatic renal cell carcinoma (RCC) when compared with standard chemotherapy and interferon-α. We report a case of paraneoplastic hypercalcemia, resistant to conventional treatment but recovers by sunitinib treatment as the first case in the literature, in a 33-years-old man with metastatic RCC. At the sixth month of follow-up period, in this case, serum calcium level was still in normal ranges. Besides sunitinib is effective in symptom control, it is also helpful in management of paraneoplastic hypercalcemia, a life-threatening entity.
Literature
1.
go back to reference Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55:74–108.CrossRefPubMed Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55:74–108.CrossRefPubMed
2.
go back to reference Ganesh SP, Blaine K, Jacob R. Paraneoplastic syndromes in urologic malignancy: the many faces of renal cell carcinoma. Rev Urol. 2002;4(4):163–70. Ganesh SP, Blaine K, Jacob R. Paraneoplastic syndromes in urologic malignancy: the many faces of renal cell carcinoma. Rev Urol. 2002;4(4):163–70.
3.
go back to reference Er O, Coşkun HS, Altınbaş M, et al. Rapidly relapsing squamous cell carcinoma of the renal pelvis associated with paraneoplastic syndromes of leukocytosis, thrombocytosis and hypercalcemia. Urol Int. 2001;67:175–7.CrossRefPubMed Er O, Coşkun HS, Altınbaş M, et al. Rapidly relapsing squamous cell carcinoma of the renal pelvis associated with paraneoplastic syndromes of leukocytosis, thrombocytosis and hypercalcemia. Urol Int. 2001;67:175–7.CrossRefPubMed
4.
go back to reference Warren WD, Utz DC, Kelalis PP. Concurrence of hypernephroma and hypercalcemia. Ann Surg. 1971;174:863–5.CrossRefPubMed Warren WD, Utz DC, Kelalis PP. Concurrence of hypernephroma and hypercalcemia. Ann Surg. 1971;174:863–5.CrossRefPubMed
5.
go back to reference Mundy GR, Ibbotson KJ, D’Souza SM, et al. The hypercalcemia of cancer. N Engl J Med. 1984;310:1718–27.CrossRefPubMed Mundy GR, Ibbotson KJ, D’Souza SM, et al. The hypercalcemia of cancer. N Engl J Med. 1984;310:1718–27.CrossRefPubMed
6.
go back to reference Stewart AF. Clinical practice. Hypercalcemia associated with cancer. N Engl J Med. 2005;352(4):373–9.CrossRefPubMed Stewart AF. Clinical practice. Hypercalcemia associated with cancer. N Engl J Med. 2005;352(4):373–9.CrossRefPubMed
7.
go back to reference Kaelin WG Jr. The von Hippel-Lindau protein, HIF hydroxylation, and oxygen sensing. Biochem Biophys Res Commun. 2005;23:240–55. Kaelin WG Jr. The von Hippel-Lindau protein, HIF hydroxylation, and oxygen sensing. Biochem Biophys Res Commun. 2005;23:240–55.
8.
go back to reference Abrams TJ, Lee LB, Murray LJ, et al. SU11248 inhibits KIT and platelet-derived growth factor receptor beta in preclinical models of human small cell lung cancer. Mol Cancer Ther. 2003;2:471–8.PubMed Abrams TJ, Lee LB, Murray LJ, et al. SU11248 inhibits KIT and platelet-derived growth factor receptor beta in preclinical models of human small cell lung cancer. Mol Cancer Ther. 2003;2:471–8.PubMed
9.
go back to reference Mendel DB, Laird AD, Xin X, et al. In vivo antitumor activity of SU11248, a novel tyrosine kinase inhibitor targeting vascular endothelial growth factor and platelet-derived growth factor receptors: determination of a pharmacokinetic/pharmacodynamic relationship. Clin Cancer Res. 2003;9:327–37.PubMed Mendel DB, Laird AD, Xin X, et al. In vivo antitumor activity of SU11248, a novel tyrosine kinase inhibitor targeting vascular endothelial growth factor and platelet-derived growth factor receptors: determination of a pharmacokinetic/pharmacodynamic relationship. Clin Cancer Res. 2003;9:327–37.PubMed
10.
go back to reference Murray LJ, Abrams TJ, Long KR, et al. SU11248 inhibits tumor growth and CSF-1R-dependent osteolysis in an experimental breast cancer bone metastasis model. Clin Exp Metastasis. 2003;20:757–66.CrossRefPubMed Murray LJ, Abrams TJ, Long KR, et al. SU11248 inhibits tumor growth and CSF-1R-dependent osteolysis in an experimental breast cancer bone metastasis model. Clin Exp Metastasis. 2003;20:757–66.CrossRefPubMed
11.
go back to reference O’Farrell AM, Abrams TJ, Yuen HA, et al. SU11248 is a novel FLT3 tyrosine kinase inhibitor with potent activity in vitro and in vivo. Blood. 2003;101:3597–605.CrossRefPubMed O’Farrell AM, Abrams TJ, Yuen HA, et al. SU11248 is a novel FLT3 tyrosine kinase inhibitor with potent activity in vitro and in vivo. Blood. 2003;101:3597–605.CrossRefPubMed
12.
go back to reference Motzer RJ, Hutson TE, Tomczak P, et al. Phase III randomized trial of sunitinib malate (SU11248) versus interferon-alfa as first-line systemic therapy for patients with metastatic renal cell carcinoma (abstract no. LBA3). J Clin Oncol. 2006;24(Suppl 18):930. Motzer RJ, Hutson TE, Tomczak P, et al. Phase III randomized trial of sunitinib malate (SU11248) versus interferon-alfa as first-line systemic therapy for patients with metastatic renal cell carcinoma (abstract no. LBA3). J Clin Oncol. 2006;24(Suppl 18):930.
13.
go back to reference Escuider B, Chevreau C, Lasset C, et al. Cytokines in metastatic renal cell carcinoma: is it useful to switch to interleukin-2 or interferon after failure of a first treatment? Groupe Francais d’Immunotherape. J Clin Oncol. 1999;17:2039–43. Escuider B, Chevreau C, Lasset C, et al. Cytokines in metastatic renal cell carcinoma: is it useful to switch to interleukin-2 or interferon after failure of a first treatment? Groupe Francais d’Immunotherape. J Clin Oncol. 1999;17:2039–43.
14.
go back to reference Motzer RJ, Bacik J, Schwartz LH, et al. Prognostic factors for survival in previously treated patients with metastatic renal cell carcinoma. J Clin Oncol. 2004;22:454–63.CrossRefPubMed Motzer RJ, Bacik J, Schwartz LH, et al. Prognostic factors for survival in previously treated patients with metastatic renal cell carcinoma. J Clin Oncol. 2004;22:454–63.CrossRefPubMed
15.
go back to reference Motzer RJ, Hutson TE, Tomczak P, et al. Sunitinib versus interferon alfa in metastatic renal cell carcinoma. N Engl J Med. 2007;356:115–24.CrossRefPubMed Motzer RJ, Hutson TE, Tomczak P, et al. Sunitinib versus interferon alfa in metastatic renal cell carcinoma. N Engl J Med. 2007;356:115–24.CrossRefPubMed
16.
go back to reference Bergers G, Song S, Meyer-Morse N, et al. Benefits of targeting both pericytes and endothelial cells in the tumor vasculature with kinase inhibitors. J Clin Invest. 2003;111:1287–95.PubMed Bergers G, Song S, Meyer-Morse N, et al. Benefits of targeting both pericytes and endothelial cells in the tumor vasculature with kinase inhibitors. J Clin Invest. 2003;111:1287–95.PubMed
17.
go back to reference Erber R, Thurnher A, Katsen AD, et al. Combined inhibition of VEGF and PDGF signaling enforces tumor vessel regression by interfering with percyte-mediated endothelial cell survival mechanisms. FASEB J. 2004;18:338–40.PubMed Erber R, Thurnher A, Katsen AD, et al. Combined inhibition of VEGF and PDGF signaling enforces tumor vessel regression by interfering with percyte-mediated endothelial cell survival mechanisms. FASEB J. 2004;18:338–40.PubMed
18.
go back to reference Newman E, Bouvet M, Borgehi S, Herold D, Deftos L. Causes of hypercalcemia in a population of military veterans in the United States. Endocr Pract. 2006;12(5):535–41.PubMed Newman E, Bouvet M, Borgehi S, Herold D, Deftos L. Causes of hypercalcemia in a population of military veterans in the United States. Endocr Pract. 2006;12(5):535–41.PubMed
19.
go back to reference Lee C, Yang C, Lam K, et al. Hypercalcemia in the emergency department. Am J Med Sci. 2006;331(3):119–23.CrossRefPubMed Lee C, Yang C, Lam K, et al. Hypercalcemia in the emergency department. Am J Med Sci. 2006;331(3):119–23.CrossRefPubMed
20.
go back to reference Vassilopoulou-Sellin R, Newman B, Taylor S, Guinee V. Incidence of hypercalcemia in the patients with malignancy referred to a comprehensive cancer center. Cancer. 1993;71(4):1309–12.CrossRefPubMed Vassilopoulou-Sellin R, Newman B, Taylor S, Guinee V. Incidence of hypercalcemia in the patients with malignancy referred to a comprehensive cancer center. Cancer. 1993;71(4):1309–12.CrossRefPubMed
21.
go back to reference Papworth K, Grankvist K, Ljungberg B, Rasmuson T. Parathyroid hormone-related protein and serum calcium in patient with renal cell carcinoma. Tumour Biol. 2005;2(4):201–6.CrossRef Papworth K, Grankvist K, Ljungberg B, Rasmuson T. Parathyroid hormone-related protein and serum calcium in patient with renal cell carcinoma. Tumour Biol. 2005;2(4):201–6.CrossRef
22.
go back to reference Chasan SA, Pothel RL, Huben RP. Management and prognostic significance of hypercalcemia in renal cell carcinoma. Urology. 1989;33:167–71.CrossRefPubMed Chasan SA, Pothel RL, Huben RP. Management and prognostic significance of hypercalcemia in renal cell carcinoma. Urology. 1989;33:167–71.CrossRefPubMed
23.
go back to reference Endo I, Inoue D. Treatment of malignancy-associated hypercalcemia. Clin Calcium. 2006;16(4):373–9. Endo I, Inoue D. Treatment of malignancy-associated hypercalcemia. Clin Calcium. 2006;16(4):373–9.
24.
go back to reference Ritch PS. Treatment of cancer-related hypercalcemia. Semin Oncol. 1990;17:26–33.PubMed Ritch PS. Treatment of cancer-related hypercalcemia. Semin Oncol. 1990;17:26–33.PubMed
25.
go back to reference Pepper K, Jaowattana U, Starsiak MD, et al. Renal cell carcinoma presenting with paraneoplastic hypercalcemic coma: a case report and review of the literature. Soc Gen Int Med. 2007;22:1042–6.CrossRef Pepper K, Jaowattana U, Starsiak MD, et al. Renal cell carcinoma presenting with paraneoplastic hypercalcemic coma: a case report and review of the literature. Soc Gen Int Med. 2007;22:1042–6.CrossRef
26.
go back to reference Atkins MB, Hidalgo M, Stadler WM, et al. Randomized phase II study of multiple dose levels of CCI-779, a novel mammalian target of rapamycin kinase inhibitor, in patients with advanced refractory renal cell carcinoma. J Clin Oncol. 2004;22(5):909–18.CrossRefPubMed Atkins MB, Hidalgo M, Stadler WM, et al. Randomized phase II study of multiple dose levels of CCI-779, a novel mammalian target of rapamycin kinase inhibitor, in patients with advanced refractory renal cell carcinoma. J Clin Oncol. 2004;22(5):909–18.CrossRefPubMed
Metadata
Title
Recovery of paraneoplastic hypercalcemia by sunitinib treatment for renal cell carcinoma: a case report and review of the literature
Authors
Halit Karaca
Ayhan Lale
Mustafa Dikilitas
Metin Ozkan
Ozlem Er
Publication date
01-09-2010
Publisher
Springer US
Published in
Medical Oncology / Issue 3/2010
Print ISSN: 1357-0560
Electronic ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-009-9327-4

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