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              <text>&lt;a href="http://doi.org/10.1097/00007611-200194030-00010" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/10.1097/00007611-200194030-00010&lt;/a&gt;</text>
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              <text>329–331</text>
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                <text>Humoral hypercalcemia of malignancy in squamous cell carcinoma of the skin: parathyroid hormone–related protein as a cause.</text>
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                <text>Southern medical journal</text>
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                <text>Aged; Carcinoma; Fatal Outcome; Humans; Hypercalcemia/blood/*etiology; Male; Paraneoplastic Syndromes/blood/etiology/therapy; Parathyroid Hormone-Related Protein; Parathyroid Hormone/blood; Prognosis; Proteins/analysis; Skin Neoplasms/*complications; Squamous Cell/*complications; Treatment Refusal</text>
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                <text>Cisneros G; Lara L F; Crock R; Whittier F C</text>
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                <text>The second most common cause of hypercalcemia is humoral hypercalcemia of malignancy (HHM), a condition associated with increased mortality. Although hypercalcemia is usually seen in squamous cell cancers, only 13 cases have been described in association with squamous cell skin cancer, and only 5 of these had characteristics of HHM. We report a case of hypercalcemia due to squamous cell skin cancer confined to the chest wall in a 67-year-old semi-comatose patient. Aggressive treatment with intravenous fluid hydration, furosemide, and etidronate corrected the hypercalcemia. A thorough workup ruled out bone metastasis and confirmed increased parathyroid-related protein, the hallmark of HHM. After regaining consciousness, the patient refused further therapy and subsequently died.</text>
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                <text>&lt;a href="http://doi.org/10.1097/00007611-200194030-00010" target="_blank" rel="noreferrer noopener"&gt;10.1097/00007611-200194030-00010&lt;/a&gt;</text>
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        <name>Department of Internal Medicine</name>
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