Hung Tsung-Hsuan, Hung Jui-Kuo, Chang Ing-Lin, Yu Chen-Tung, Chen Shih-Jen
Department of Orthopedic Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Int Surg. 2007 Sep-Oct;92(5):300-3.
Tumoral calcinosis is a rare clinical and histopathologic syndrome that causes the formation of calcium salt crystal deposits in periarticular soft tissue. This soft tissue calcification typically behaves as a large-sized tumor. However, the mechanism is unknown for the massive periarticular calcification caused by tumoral calcinosis. In addition, tumor calcinosis occurs infrequently in patients who have been on long-term hemodialysis and have end-stage renal disease (ESRD). This report describes a 40-year-old male uremia patient on long-term hemodialysis. This patient developed a huge tumor mass and pain over the left shoulder and was diagnosed with tumoral calcinosis. Although common treatments include management of metabolic levels such as calcium and phosphate, in some cases, surgical intervention may be needed. In this patient case, complete surgical excision was done successfully with an excellent outcome at the 2-year follow-up.
肿瘤性钙化是一种罕见的临床和组织病理学综合征，可导致关节周围软组织中形成钙盐晶体沉积。这种软组织钙化通常表现为一个大尺寸的肿瘤。然而，肿瘤性钙化导致大量关节周围钙化的机制尚不清楚。此外，肿瘤性钙化在长期接受血液透析且患有终末期肾病（ESRD）的患者中很少见。本报告描述了一名40岁长期接受血液透析的男性尿毒症患者。该患者左肩部出现巨大肿瘤肿块并伴有疼痛，被诊断为肿瘤性钙化。虽然常见的治疗方法包括控制钙和磷等代谢水平，但在某些情况下可能需要手术干预。在本病例中，成功进行了完整的手术切除，在2年随访时效果良好。
