Zapałowicz Krzysztof, Stasiów Bartłomiej, Ciupińska-Kajor Monika, Piwowarski Wojciech
Department of Neurosurgery, Independent Public Clinical Hospital No. 7 of the Medical University of Silesia in Katowice, Professor Leszek Giec Upper Silesian Medical Centre, Katowice, Poland.
The Unit of Diagnostic Imaging, Independent Public Clinical Hospital No. 7 of the Medical University of Silesia in Katowice, Professor Leszek Giec Upper Silesian Medical Centre, Katowice, Poland.
Neurol Neurochir Pol. 2017 Mar-Apr;51(2):163-169. doi: 10.1016/j.pjnns.2016.12.001. Epub 2016 Dec 14.
The authors present a case of tumoral calcinosis (TC) in a patient with chronic renal insufficiency. The clinical course, imaging features and microscopic findings are detailed. A 60-year-old woman with a 4-year history of hemodialysis presented with a painful mass in the right posterior cervical triangle. The neuroimaging revealed polycystic mass bulging from the C3-C5 facet joints and lamina on the right. The majority of cystic mass was excised and microscopic features of the specimen were consistent with TC. Tumoral calcinosis is a rare disease characterized by calcium salt deposits in periarticular soft tissue, which enlarge to form tumor-like cystic masses containing chalky calcareous material. TC is typically seen around large joints but rarely in the spine. Review of past publications provided six cases of TC involving the spine in dialyzed patients.
作者报告了一例慢性肾功能不全患者的肿瘤性钙化症（TC）。详细介绍了其临床病程、影像学特征和微观表现。一名有4年血液透析史的60岁女性，右侧颈后三角区出现疼痛性肿块。神经影像学检查显示，右侧C3 - C5关节突关节和椎板处有一个多囊性肿块向外突出。大部分囊性肿块被切除，标本的微观特征与肿瘤性钙化症相符。肿瘤性钙化症是一种罕见疾病，其特征是关节周围软组织中有钙盐沉积，这些沉积物会增大形成含有白垩样钙质物质的肿瘤样囊性肿块。肿瘤性钙化症通常见于大关节周围，但很少见于脊柱。回顾既往文献发现，有6例透析患者发生的肿瘤性钙化症累及脊柱。
