Soldre C T, Azulay D R, Carneiro S, Azulay D R
Med Cutan Ibero Lat Am. 1986;14(4):275-80.
A critical review of the present classification of the calcinosis cutis is done and the difficulties to make it more precise are pointed out: it is hard to put together diseases totally different that have in common only calcium deposits in the skin; there is a lot of confusion in the current terminology; some authors don't recognize certain entities and; in a few times their own definitions are not respected. A cause of scrotal calcinosis (SC) secondary to epidermoid cysts calcification is presented. The authors believe that many cases classified as idiopathic calcinosis of the scrotum can be in reality late stages of a dystrophic calcification. They suggest that serial cuts in the histopathology examination of every lesion of SC should be performed in order to establish the existence or not of any epithelial remnant. Considering the fact that the treatment is surgical and mostly due to esthetic reasons, they also suggest to follow, if possible, a significant number of patients from an early to a late stage of the disease; only in this way it will be possible to know about the natural history of the scrotal calcinosis.
对皮肤钙质沉着症目前的分类进行了批判性回顾，并指出了使其更加精确所面临的困难：很难将仅在皮肤中有钙沉积这一共同点但却完全不同的疾病归为一类；当前术语存在很多混淆；一些作者不认可某些实体；而且有时他们自己的定义也未得到遵循。本文介绍了一例继发于表皮样囊肿钙化的阴囊钙质沉着症（SC）病例。作者认为，许多被归类为特发性阴囊钙质沉着症的病例实际上可能是营养不良性钙化的晚期阶段。他们建议对SC的每个病变进行组织病理学检查时应进行连续切片，以确定是否存在任何上皮残余物。考虑到治疗是手术治疗且主要是出于美学原因，他们还建议，如果可能的话，对大量患者从疾病的早期到晚期进行随访；只有这样才有可能了解阴囊钙质沉着症的自然病史。
