Jain Aakriti, Sahu Amit K, Kulkarni Sudhir B, Tiwari Akshay
Department of Musculoskeletal Oncology, Max Institute of Cancer Care, Delhi, India.
Department of Radiology, Max Institute of Cancer Care, Delhi, India.
Indian J Orthop. 2022 Jun 22;56(8):1474-1477. doi: 10.1007/s43465-022-00674-9. eCollection 2022 Aug.
We report the clinico radiological presentation of an unusual case of an ossified soft tissue mass in the leg in a 74-year-old man. Calcific myonecrosis is a rare soft tissue condition characterized by calcified mass within a compartment. Differential diagnosis of myonecrosis include myositis ossificans and sarcomas with propensity for extra-osseous calcification like extra-skeletal osteosarcoma, Ewing's sarcoma and epithelioid sarcoma. This entity is a late complication to trauma and prolonged high pressure state within the leg compartments. With imaging alone, the differential of soft tissue sarcoma could be ruled out but typical natural history of disease and radiopathological features aided in the diagnosis.
我们报告了一名74岁男性腿部罕见的骨化性软组织肿块病例的临床放射学表现。钙化性肌坏死是一种罕见的软组织疾病，其特征是在一个间隔内出现钙化肿块。肌坏死的鉴别诊断包括骨化性肌炎和具有骨外钙化倾向的肉瘤，如骨外骨肉瘤、尤因肉瘤和上皮样肉瘤。该实体是创伤和腿部间隔内长期高压状态的晚期并发症。仅通过影像学检查，可以排除软组织肉瘤的鉴别诊断，但疾病的典型自然史和放射病理学特征有助于诊断。
