Shetty Gautam M, Murari Ashok Shyam, Shah Shrenik V, Dhengle Sushil
Department of Orthopaedic Surgery, B.Y.L Nair Hospital, A.L Nair Road, Mumbai Central, Mumbai 400008, India.
Joint Bone Spine. 2009 Mar;76(2):198-201. doi: 10.1016/j.jbspin.2008.06.014. Epub 2008 Dec 14.
We present a case of multiple large juxta-articular painless masses involving both the elbows and right hip in a 27-year old south Asian male who presented with ulnar neuropathy and constitutional symptoms. Radiology, blood investigations and biopsy confirmed it to be hyperphosphatemic tumoral calcinosis. Patient was also diagnosed with an extremely rare association, testicular microlithiasis. Complete surgical excision with low phosphate diet resulted in complete neurological recovery and no recurrence at 30 months. Tumoral calcinosis should be considered in the differential diagnosis of a case with multiple, symptomatic juxta-articular masses.
我们报告一例27岁南亚男性病例，其双肘和右髋出现多个大的关节旁无痛性肿块，并伴有尺神经病变和全身症状。影像学检查、血液检查及活检确诊为高磷血症性肿瘤性钙化。患者还被诊断出患有极为罕见的合并症——睾丸微石症。通过完全手术切除并采用低磷饮食，患者神经功能完全恢复，30个月时未复发。对于出现多个有症状的关节旁肿块的病例，鉴别诊断时应考虑肿瘤性钙化。
