Steinbach L S, Johnston J O, Tepper E F, Honda G D, Martel W
Department of Radiology, University of California San Francisco 94143, USA.
Skeletal Radiol. 1995 Nov;24(8):573-8. doi: 10.1007/BF00204854.
Tumoral calcinosis is a frequently misdiagnosed disorder. This study details the radiologic and pathologic characteristics of tumoral calcinosis that distinguish it from most other entities.
Radiologic and pathologic findings, and medical records of 12 patients with tumoral calcinosis were reviewed and compared with equivalent information about 5 patients with other calcified lesions.
The 12 patients ranged in age from 15 months to 62 years. Six had idiopathic tumoral calcinosis and 6 had secondary tumoral calcinosis.
A consistent radiologic finding for tumoral calcinosis was a dense calcified mass that was homogeneous except for a "chicken wire" pattern of lucencies, which correlated histologically with thin fibrous septae. Other characteristics of tumoral calcinosis included fluid-calcium levels, demonstrated in four patients, and smooth osseous erosions adjacent to the mass, demonstrated in three patients. Five cases of tumoral calcinosis were originally confused with other calcified lesions; however, the radiologic findings were characteristic of tumoral calcinosis in retrospect.
肿瘤性钙化是一种常被误诊的疾病。本研究详细阐述了肿瘤性钙化的放射学和病理学特征，以将其与大多数其他疾病区分开来。
回顾了12例肿瘤性钙化患者的放射学和病理学检查结果及病历，并与5例其他钙化性病变患者的相关信息进行比较。
12例患者年龄从15个月至62岁不等。6例为特发性肿瘤性钙化，6例为继发性肿瘤性钙化。
肿瘤性钙化的一个一致的放射学表现是一个致密的钙化肿块，除了呈“筛孔状”透亮区外质地均匀，这在组织学上与薄纤维间隔相关。肿瘤性钙化的其他特征包括4例患者出现的液钙水平，以及3例患者出现的肿块邻近部位的光滑骨质侵蚀。5例肿瘤性钙化最初被误诊为其他钙化性病变；然而，回顾性分析放射学表现具有肿瘤性钙化的特征性。
