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[血液透析患者足部肿瘤性钙化症]

[Tumoral calcinosis of the foot in patient on hemodialysis].

作者信息

Huguet D, Legeay O, Guilleux C, Renaudin K, Letenneur J

机构信息

Service de Traumatologie-Orthopédie, CHR Hôtel Dieu, place Alexis-Ricordeau, 44000 Nantes, France.

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 2000 May;86(3):289-92.

Abstract

We report a new case of tumoral calcinosis in a renal failure patient. In this patient the pseudotumoral formation was found in an unusual localization on the medial border of the foot. The condition progressed with successive development of bilateral tumors and septic contamination. Pathology confirmed the diagnosis. The patient was successfully treated with tumor resection and renal graft. The origin of these pseudotumors remains a question of debate. Several pathogenc mechanisms have been put forward. Pronosis is always favorable. Several authors have suggested a phosphorus calcium work-up can be useful for classifying these tumors, guiding surgical treatment if required and managing the underlying cause.

摘要

我们报告了一例肾衰竭患者的肿瘤性钙化新病例。在该患者中,假肿瘤形成于足部内侧边缘的一个不寻常部位。病情随着双侧肿瘤的相继发展和脓毒症感染而进展。病理检查确诊了诊断。患者通过肿瘤切除和肾移植成功治愈。这些假肿瘤的起源仍然是一个有争议的问题。已经提出了几种致病机制。预后通常良好。几位作者认为,磷钙检查对于这些肿瘤的分类、必要时指导手术治疗以及处理潜在病因可能有用。

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