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Madoka Toyoda, Nobuyasu Suganuma, Akari Takahashi, Taku Masuda, Masami Goda, Tatsuya Yoshida, Norio Yukawa, Shoji Yamanaka, Yasushi Rino, and Munetaka Masuda


Emergencies due to malignancies usually have a severe clinical course and require urgent treatment. These scenarios are dubbed ‘oncologic emergencies’. Parathyroid tumours often cause hypercalcaemia but not oncologic emergencies. We present a case of parathyroid carcinoma with severe hypercalcaemia and pancreatitis, resolved by surgical resection of the tumour assisted by extracorporeal membrane oxygenation (ECMO). A 66-year-old woman presented to our hospital because of haematuria. Laboratory findings were as follows: white blood cell count: 30 000, C-reactive protein: 17.7, calcium: 21.9, creatine kinase: 316, creati