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Hypercalcemia associated with nonmetastatic malignancy has been reported most frequently with lung or kidney tumors, while among gynecologic malignancies, the ovary has been the most common primary site. The pertinent clinicopathologic features of 2 cases of nonmetastatic vulvar carcinoma producing hypercalcemia are described in the present report. Including 3 previously reported cases, the vulva is seen to be the second most common site in the female genital tract for production of this paraendocrine syndrome. The clinician should be aware of the association of hypercalcemia and mental confusion with bulky vulvar tumors, so that surgery will not needlessly be delayed in a futile attempt to correct the hypercalcemia medically,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
January 1969,
Gynaecologia. International monthly review of obstetrics and gynecology. Revue internationale mensuelle d'obstetrique et de gynecologie. Monatsschrift fur Geburtshilfe und Gynakologie,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
September 1977,
New York state journal of medicine,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
January 2019,
European journal of case reports in internal medicine,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
October 2005,
Minerva ginecologica,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
January 2010,
Archives of gynecology and obstetrics,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
January 1961,
Gastroenterologia,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
October 2011,
Menopause (New York, N.Y.),
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
November 1982,
Journal of surgical oncology,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
March 1987,
Veterinary pathology,
J R Niebyl, and
R Genadry, and
E G Friedrich, and
E F Wilkinson, and
J D Woodruff
September 1979,
Obstetrics and gynecology,
