Palliative Volume Resuscitation in a Patient with Cancer and Hypercalcemia: Why Bother?

Abstract:

:Hypercalcemia of malignancy affects 2%-2.8% of cancer patients and is associated with an increased risk of mortality and other symptom-related complications. Standard treatment consists of fluid resuscitation, intravenous bisphosphonates, and calcitonin. Little is known, however, about the benefits of treatment of malignant hypercalcemia in patients with late-stage terminal cancer. We present a case of a hospice patient with squamous cell lung cancer brought to our hospital with newly altered mental status who was found to have hypercalcemia of malignancy. Our discussion centers on the diagnostic dilemma of deciding which patients seeking comfort-focused care may benefit from fluid resuscitation for symptoms of hypercalcemia of malignancy while maintaining the unambiguous goal of comfort care.

journal_name

J Palliat Med

authors

Ferraro K,Sanchez-Reilly S

doi

10.1089/jpm.2019.0343

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

871-873

issue

6

eissn

1096-6218

issn

1557-7740

journal_volume

23

pub_type

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