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Topic: Elevated Blood Calcium Level

Forum: Bone Health and Bone Loss —

Talk with others about bone density, osteopenia and osteoporosis, and ways to keep your bones strong

Posted on: Nov 17, 2021 04:16PM

Puggymom wrote:

Ok, you know the look of gloom when your doctor enters the exam room? Well I got that today. Elevated calcium level showing signs of bone metastasis, elevated ALT so I’m getting a CT scan next week for possible liver and lung mets. Has anyone received a similar blood test result and gone down that path? I’ve been NED for the last 7 years after Stage III so I’m terrified.

Dx 2/2013, IDC, Both breasts, 4cm, Stage IIIA, Grade 2, 8/11 nodes, ER+/PR+, HER2- (FISH) Surgery Radiation Therapy Chemotherapy
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Nov 17, 2021 08:47PM HomeMom wrote:

Hi Puggymom. I don't have an answer, but if I were you, I'd post in the bone mets thread or the the stage IV mets thread where people not diagnosed, but worried can ask questions. They are very helpful!

Dx 3/31/2014, IDC, Left, 2cm, Stage IIIA, Grade 1, 4/29 nodes, ER+/PR+, HER2- Surgery 4/14/2014 Lumpectomy: Left Surgery 5/5/2014 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left; Reconstruction (left): Tissue expander placement Chemotherapy 5/29/2014 AC Chemotherapy 7/24/2014 Taxol (paclitaxel) Radiation Therapy 10/15/2014 Hormonal Therapy 12/14/2014 Arimidex (anastrozole)
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Nov 18, 2021 12:52AM SeeQ wrote:

Puggymom - my ALT, AST, ALP were up and down for about a year before my PCM sent me for imaging - no history of cancer before that. My point is that a single elevated reading is not necessarily alarming (you didn't mention how elevated).

High calcium can also be caused by a benign tumor on a parathyroid gland (not the same as thyroid). My MO watched my consistently high calcium for almost a year before testing my parathyroid hormone (PTh) and referring me to an endocrinologist. A simple outpatient surgery corrected that problem. There's 1 or 2 threads on BCO about it (search 'parathyroid'). The place I went to for the surgery has a very informative website:

Diagnosed de novo Stage IV; numerous liver mets; single small breast tumor identified 4 weeks later Dx 6/2/2020, IDC, 6cm+, Stage IV, metastasized to liver, ER+/PR+, HER2- (IHC) Hormonal Therapy 7/2/2020 Arimidex (anastrozole) Targeted Therapy 7/9/2020 Verzenio
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Nov 18, 2021 09:21AM ThreeTree wrote:

I think I read somewhere that high blood calcium levels can also be related to calcium and vitamin D levels. Don't remember if it was about too much or not enough of one of those, but again, another cause that would be easily taken care of.

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Nov 18, 2021 09:51AM SpecialK wrote:

puggymom - as mentioned above, high calcium can also be related to your parathyroid. Has your oncologist also tested your Vitamin D level, and your PTH (parathyroid hormone) level? High calcium and low Vit D almost always means that your parathyroid has issues. The ALT can be high as an anomaly, or due to a number of reasons, including fatty liver, medication side effect, inflammation, hypothyroid, etc. Having both elevated calcium and ALT does not universally mean they are from a common cause. Hoping you have definitive answers soon, the waiting is hard, wishing you the best.

BMX w/ TE 11/1/10, ALND 12/6/10. 16 additional surgeries. TCHx6 2/17-6/2/11. Herceptin until 1/19/12. Femara 8/1/11, Arimidex 6/20/12, back to Femara 2013-2018. Dx 9/27/2010, DCIS, Stage 0, Grade 3 Dx 9/27/2010, IDC, Right, 2cm, Stage IIB, Grade 3, 2/14 nodes, ER+/PR+, HER2+ (IHC)
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Nov 18, 2021 11:36AM Puggymom wrote:

This is a new oncologist for me since I moved from Utah to South Carolina. I’ve been on an annual review and my previous dr sent all prior cancer history. Last blood panel was done September 2020 and then this blood panel yesterday. In the discussion with new dr, he indicated my Vit D was normal but didn’t mention pht test. He indicated tumor markers were elevated but needed to see a second test for activity. ALT was in a range that was indicative of cancer inflammation. I mentioned fatty liver but he said not really as that would be in a lower range. I guess that is why I’ve been sent for barium contrast liver scan as well as lungs because of coughing and mild pain. I’ve had both triple negative and hormone receptor tumors, both breasts and plenty of lymph node involvement. I guess having been NED for all these years is a blessing as he indicated I’m not typical.

Dx 2/2013, IDC, Both breasts, 4cm, Stage IIIA, Grade 2, 8/11 nodes, ER+/PR+, HER2- (FISH) Surgery Radiation Therapy Chemotherapy

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