A patient with solid gynecologic cancer causing lactic acidosis, severe hypercalcemia, and hypoglycemia

Though rare in cervical cancer patients, paraneoplastic syndrome usually presents with several endocrine and hormonal symptoms. Knowledge of the pathophysiology that underlies these abnormalities is beneficial to diagnosis and treatment. An interdisciplinary approach and test analysis prior to initiating specific treatment is recommended, though prognosis appears poor in advanced cases. Endocrine paraneoplastic syndromes occur in patients with malignant disease and are caused by tumor production of hormones or peptides leading to metabolic derangements. These syndromes are typically detected after cancer diagnosis,1,2 and physician knowledge about these syndromes is important for patient care.3 Herein, we report an unusual case of paraneoplastic syndrome with three different simultaneously occurring metabolic disturbances in a 45‐year‐old female with a solid gynecologic tumor