Second Year Resident, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.
Attending Surgeon, The Vancouver Clinic, Vancouver, WA.
J Foot Ankle Surg. 2020 Nov-Dec;59(6):1313-1317. doi: 10.1053/j.jfas.2020.08.017. Epub 2020 Aug 25.
Tumoral calcinosis is a benign, progressive disorder characterized by massive periarticular deposition of calcium salts into subcutaneous and deeper tissue layers. While a majority of cases present secondary to underlying metabolic disorders, it can rarely present as a primary, idiopathic phenomenon. We present an atypical case of a pediatric patient with a large, ulcerated pedal soft tissue mass found to be consistent with primary tumoral calcinosis. This was confirmed by histopathologic analysis and comprehensive metabolic workup. The patient underwent surgical excision of the mass, with complete resolution of symptoms and no recurrence after a 1-year follow-up period.
肿瘤性钙化症是一种良性、进行性疾病，其特征是大量钙盐沉积在关节周围，进入皮下和更深的组织层。虽然大多数病例继发于潜在的代谢紊乱，但也很少表现为原发性、特发性现象。我们报告了一例儿科患者的非典型病例，该患者患有大的、溃疡性足部软组织肿块，经组织病理学分析和全面代谢检查后被诊断为原发性肿瘤性钙化症。该患者接受了肿块的手术切除，症状完全缓解，随访 1 年后无复发。
