PTHrP-associated hypercalcemia in gynecologic malignancies: a scoping review - Report - MDSpire

PTHrP-associated hypercalcemia in gynecologic malignancies: a scoping review

  • By

  • Shara Maria Bohne

  • Florian Wegwitz

  • Judith Kruse-Wieczorek

  • Laura Langer

  • Julia Gallwas

  • Philipp Ströbel

  • Mir Fuad Hasanov

  • June 17, 2026

  • 0 min

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Clinical Report: A Scoping Review of PTHrP-Related Hypercalcemia in Gynecological Cancers

Overview

This scoping review provides a structured overview of PTHrP-associated hypercalcemia in gynecological malignancies, highlighting the rarity of such cases in the literature. It evaluates pre- and postoperative biochemical parameters and categorizes cases based on diagnostic confirmation levels.

Background

Hypercalcemia is a significant metabolic complication in malignancy, leading to increased morbidity and mortality. Parathyroid hormone-related peptide (PTHrP) is a key factor in hypercalcemia of malignancy (HCM), particularly in various cancers, including gynecological tumors. Despite its relevance, PTHrP involvement in gynecological cancers is considered rare, with limited evidence primarily from case reports.

Data Highlights

No numerical data or trial data were provided in the article.

Key Findings

  • PTHrP is involved in hypercalcemia of malignancy, particularly in various cancers.
  • HCM occurs in approximately 20-30% of cancer patients, with PTHrP-driven HHM being the most common mechanism.
  • PTHrP expression has been reported in gynecological tumors, although it is rare.
  • The literature on PTHrP-related hypercalcemia in gynecological cancers is heterogeneous and primarily consists of case reports.
  • This scoping review aims to systematically summarize existing evidence and evaluate biochemical parameters.

Clinical Implications

Healthcare professionals should be aware of the potential for PTHrP-related hypercalcemia in gynecological malignancies, despite its rarity. Accurate diagnosis and understanding of biochemical parameters are essential for managing this condition effectively.

Conclusion

The scoping review highlights the need for further structured evaluations of PTHrP-associated hypercalcemia in gynecological cancers to enhance clinical understanding and management.

Related Resources & Content

  1. International Journal of Gynecological Cancer, 2025 -- PTHrP-associated hypercalcemia in gynecologic malignancies: a scoping review
  2. The Journal of Clinical Endocrinology & Metabolism — Managing Patients with Normocalcemic Primary Hyperparathyroidism
  3. Exploring the Link Between Undiagnosed Primary Hyperparathyroidism and Recurrent Miscarriages: A Novel Prospective Pilot Investigation
  4. Updates in Surgery — Are atypical parathyroid tumors distinct from parathyroid adenomas and carcinomas? A retrospective analysis of a substantial single-center case series
  5. Endocrine Reviews — Bone in Parathyroid Diseases Revisited: Evidence From Epidemiological, Surgical and New Drug Outcomes
  6. Hypercalcemia of Malignancy: An Atypical Presentation of Endometrial Carcinoma
  7. A Case of Hypercalcemic-Type Stage IVB Small-Cell Carcinoma of the Ovary in a Young Woman
  8. https://academic.oup.com/jcem/article/108/3/507/6916871
  9. PthrP-associated hypercalcemia in gynecologic malignancies: A scoping review - International Journal of Gynecological Cancer
  10. Malignancy-Related Hypercalcemia - StatPearls - NCBI Bookshelf
  11. Hypercalcemia (High Calcium Levels) | American Cancer Society

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