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This is often observed with progression of tumor by means of the specific underlying mechanism for HCM whether it be OMRH, PTHrP, or HHM-SCCBR.
The mechanism elucidated to cause HHM-SCCBR has been described in conjunction with HHM-PTHrP or OMRH, as observed in multiple myeloma and breast cancer [37, 38].
The first two admissions were presumed to be associated with OMRH, evidenced by extensive bone metastases.