Abstract
A 77-year-old man was suspected of having tumor-induced osteomalacia (TIO) because of hypophosphatemia (1.9 mg/dL) and elevated serum fibroblast growth factor 23 (FGF23) level (186.9 pg/mL). We detected a tumor in his left parotid gland, and the FGF23 level in the left external jugular vein indicated that the tumor overproduced FGF23. After the removal of the tumor, the serum FGF23 level rapidly decreased, and the serum phosphate normalized. This is the first case of TIO caused by a tumor in a parotid gland. This case indicates that the responsible tumors for TIO can be quite diverse.
MeSH terms
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Aged
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Biomarkers, Tumor / blood
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Fibroblast Growth Factor-23
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Fibroblast Growth Factors / blood
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Humans
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Hypophosphatemia / etiology
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Magnetic Resonance Imaging
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Male
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Neoplasms, Connective Tissue / diagnostic imaging
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Neoplasms, Connective Tissue / etiology*
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Osteomalacia
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Paraneoplastic Syndromes / diagnostic imaging
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Paraneoplastic Syndromes / etiology
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Parotid Neoplasms / complications*
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Parotid Neoplasms / diagnostic imaging
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Positron Emission Tomography Computed Tomography
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Radionuclide Imaging
Substances
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Biomarkers, Tumor
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FGF23 protein, human
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Fibroblast Growth Factors
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Fibroblast Growth Factor-23