Ayoub Elhajjami, Youssef Bouktib, Badr Boutakioute, Meriem Ouali Idrissi, Najate Cherif Idrissi Elganouni
Department of Radiology, Caddi Ayyad University, Arrazi Hospital, Marrakech University Hospital, Marrakech, Morocco.
Radiol Case Rep. 2024 Nov 9;20(1):670-673. doi: 10.1016/j.radcr.2024.09.111. eCollection 2025 Jan.
Tumoral calcinosis is a rare disorder characterized by the deposition of calcium phosphate crystals in periarticular soft tissues, often presenting as asymptomatic masses. However, these calcific masses can occasionally cause significant morbidity by compressing adjacent neurovascular structures. We report a rare case of tumoral calcinosis leading to peripheral nerve compression of the suprascapular nerve in a 55-year-old female. The patient presented with progressive shoulder pain and weakness, significantly affecting her daily activities. Imaging studies, including X-ray, CT, and MRI, revealed large, calcified masses in the scapular region compressing the suprascapular nerve. This case highlights the importance of considering nerve compression in the differential diagnosis of shoulder pain with muscular weakness in tumoral calcinosis. Surgical decompression of the nerve and excision of the calcified masses resulted in significant pain relief and partial recovery of shoulder function. This report underscores the critical role of imaging in the diagnosis and management of tumoral calcinosis and the potential for favorable outcomes with timely surgical intervention.
肿瘤性钙化是一种罕见的疾病，其特征是磷酸钙晶体沉积在关节周围软组织中，通常表现为无症状肿块。然而，这些钙化肿块偶尔会因压迫相邻的神经血管结构而导致严重的发病率。我们报告一例罕见的肿瘤性钙化病例，导致一名55岁女性的肩胛上神经周围神经受压。患者表现为进行性肩部疼痛和无力，严重影响其日常活动。包括X线、CT和MRI在内的影像学检查显示肩胛区有巨大的钙化肿块压迫肩胛上神经。该病例强调了在肿瘤性钙化伴肌肉无力的肩部疼痛鉴别诊断中考虑神经受压的重要性。对神经进行手术减压并切除钙化肿块后，疼痛明显缓解，肩部功能部分恢复。本报告强调了影像学在肿瘤性钙化诊断和管理中的关键作用，以及及时手术干预取得良好结果的可能性。
