Oncogenic osteomalacia

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Oncogenic Osteomalacia

Oncogenic osteomalacia (pronunciation: on-co-gen-ic os-teo-ma-la-ci-a), also known as tumor-induced osteomalacia (TIO), is a rare paraneoplastic syndrome characterized by hypophosphatemia due to renal phosphate wasting.

Etymology

The term "oncogenic" is derived from the Greek words "onkos" meaning mass or tumor, and "genes" meaning producing. "Osteomalacia" comes from the Greek words "osteon" meaning bone, and "malakia" meaning softness. Thus, oncogenic osteomalacia can be translated as "bone softening caused by a tumor".

Definition

Oncogenic osteomalacia is a condition in which a tumor secretes a substance known as Fibroblast Growth Factor 23 (FGF23) that causes renal phosphate wasting, leading to hypophosphatemia and resulting in the softening of bones.

Symptoms

Symptoms of oncogenic osteomalacia may include bone pain, muscle weakness, and fractures. The symptoms are often nonspecific and can be mistaken for other conditions such as osteoporosis or arthritis.

Diagnosis

Diagnosis of oncogenic osteomalacia often involves blood tests to check for low levels of phosphate and high levels of FGF23. Imaging studies such as MRI or PET scan may be used to locate the tumor.

Treatment

Treatment of oncogenic osteomalacia typically involves surgical removal of the tumor. If the tumor cannot be located or is inoperable, medical treatment with phosphate supplements and active vitamin D may be used.

Related Terms

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