Guo Rui, Kurata Tatsuya, Kondo Tetsushi, Imanishi Takao, Mizuno Tetsutaro, Sakakibara Toshihiko, Kasai Yuichi
Department of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu City, Mie, 514-8507, Japan.
Department of Orthopaedics, The Third People's Hospital of Kunshan, Kunshan, Jiangsu, China.
J Med Case Rep. 2017 Oct 27;11(1):304. doi: 10.1186/s13256-017-1474-1.
Tumoral calcinosis is rarely located in spine. A 55-year-old Japanese woman with cervical tumoral calcinosis is presented, along with a review of the literature relating to tumoral calcinosis in the spine. We discussed the etiology, diagnosis, and management of this condition.
We report a case of a patient with cervical tumoral calcinosis with end-stage renal disease. A computed tomography scan showed a lobulated, calcified mass around the right facet joint at the fourth-fifth cervical spine and calcifications were also observed in the right intervertebral foramens at fourth-fifth cervical spine and fifth-sixth cervical spine levels and the anterior wall of the spinal canal. By performing a cervical decompression and stabilization, the patient recovered from her neurological symptoms.
Although tumoral calcinosis is rarely located in the spine, it should be considered in the differential diagnosis of spinal lesions. If a calcified mass causes acute neurological symptoms, resection of the mass is still the most important treatment.
肿瘤性钙化很少发生于脊柱。本文报道了一名55岁患有颈椎肿瘤性钙化的日本女性病例，并对脊柱肿瘤性钙化的相关文献进行了综述。我们讨论了该疾病的病因、诊断及治疗。
我们报告了一例患有颈椎肿瘤性钙化且伴有终末期肾病的患者。计算机断层扫描显示，在颈椎4-5水平右侧小关节周围有一个分叶状钙化肿块，同时在颈椎4-5及5-6水平的右侧椎间孔和椎管前壁也观察到钙化。通过进行颈椎减压和固定手术，患者的神经症状得以恢复。
尽管肿瘤性钙化很少发生于脊柱，但在脊柱病变的鉴别诊断中应予以考虑。如果钙化肿块引起急性神经症状，切除肿块仍是最重要的治疗方法。
