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Updated: Jul 17, 2026

Models of Bone Metastasis
Published on: September 4, 2012
Hypocalcemia as a presentation for multifocal osteosarcoma
Akbar Soltani1, Shirin Hasani-Ranjbar, Alireza Moayyeri
1Endocrinology & Metabolism Research Centre, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. soltania@sina.tums.ac.ir
Abstract:
We report the case of a 16-year-old male with multifocal osteosarcoma presented with symptomatic hypocalcemia. The patient presented signs of hypocalcemia accompanied by generalized bone pain and a femoral mass. Further evaluation revealed secondary hyperparathyroidism, highly elevated alkaline phosphatase levels, and generalized sclerotic and lytic lesions. Biopsy confirmed osteosarcomatosis. Despite aggressive chemotherapy, he died from progressive disease 2 months after diagnosis. The course of disease in this patient suggests that hypocalcemia reflects a poor prognosis.
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