Thorn(1) has recently reported that small doses of porcine posterior pituitary extract increase urinary calcium excretion olf normal dogs. Availability of patients underguing hy-pophysectomy for objectively advancing disseminated breast cancer gave us the opportunity to measure urinary calcium excretion during spontaneous postoperative polyuria and after vasopressin administration, and thereby, to determine if a similar effect ca.n be demonstrated in human subjects.Methods. Eight patients with advanced breast cancer were studied before and after hypophysectomy. These patients had all received previous hormonal treatment with androgens, and subsequently, with a combination of prednisone, 30 mg/day and triiodothyronine, 50 pg/day, and were far along in the course of their disease. The patients received 200 mg of cortisone acetate daily, starting 24 hours before surgery. On the second postoperative day, the therapy was changed to hydrocortisone, 30 mg/day, which was maintained. Triiodothyronine, 50 pg/ day, was introduced after the fourteenth day. Twelve-hour nocturnal urinary collections were used to avoid the non-specific effects of varying degrees of daytime immobilization.Calcium was determined by the flame spectrophotometric method of Loken, Eisenberg and Teal ( 2 ) , based on that of MacIntyre(3) in which the calcium emission at 422.7 mp is measured, using an oxyacetylene flame, a Zeiss direct sprayer burner, a prism monochromator, and a IP2 1 photomultiplier tube, activated by 1200 volts. The method differs from that originally described by Mac-Intyre in that those ions present in urine and serum are added to the perchloric acid dilu-*Supported in part by grant from Nat. Inst. Health, and an institutional grant from Am. Cancer SOC. allocated by the Cancer Coordinating Committee, Univ. of California.ent in amounts adequate to produce a plateau augmentation of the calcium emission (recovery is 99.5-lW.S%).Creatinine was determined by the method of Folin and Wu (4). Phosphorus was measured by the method uf Taussky and Schorr (5). Tubular reabsorption of phosphate (TRY) was calculated by the method of Chambers, et al. (6) , using 12-hour urine mllections. No correction was made for protein binding of serum inorganic phosphate.Results and discussion. The results are summarized in Tables I-VIII. Evaluation of the urinary calcium and creatinine clearance during the first 3 postoperative days was complicated by the augmenting effect of large doses of cortisone( 7-9). Polyuria without interposition of an interphase developed in patient L.R. (Table I). A moderate, gradual decrease in urinary calcium excretion was noted in spite of the continued large urinary volume. Declines in calcium excretion and glomerular filtration following hypophysectomy have been noted previously( 10,ll) , although Pearson has recently stated that calcium and phosphorus balance are undisturbed by hypophysectomy ( 12 ) .The mean creatinine clearance in these hypophysectomized breast cancer patients was 56.8 -t 3.5 ml/min. (mean t S.E.) compared...