Barrière H, Welin J, Lenne Y, Visset J, Vigier P
Ann Dermatol Venereol. 1977 Feb;104(2):136-40.
The present report describes a typical case of tumoral calcinosis. Differential diagnosis was initially directed towards sarcoma suggested by fibrous connective tissue surrounding cystlike cavities. The course of this disease led to chronic multiple fistulae with secondary infection in spite of two attempts of surgical excision. This case adds further support to the results of earlier reports showing no specific biological abnormalities. The present sutyd indicates otherwise that tumoral calcinosis and lipo-calcino-granulomatosis of Teutschlaender are the same condition. The pathogenesis of this affection remains enigmatic; there is no evidence that the lipidic excess should be the beginning of the process, but this disease must be considered as a distinctive form of calcinosis. The surgical exeresis is the only possible treatment, even if it doesn't prevent recurrence.
本报告描述了一例典型的肿瘤性钙化病例。鉴别诊断最初指向由囊状腔隙周围纤维结缔组织提示的肉瘤。尽管进行了两次手术切除尝试,但该疾病的病程仍导致慢性多发性瘘管并继发感染。该病例进一步支持了早期报告的结果,即未发现特定的生物学异常。然而,本研究表明肿瘤性钙化与特施兰德的脂质钙化性肉芽肿是同一病症。这种病症的发病机制仍然不明;没有证据表明脂质过多应是该过程的起始,但这种疾病必须被视为一种独特的钙化形式。手术切除是唯一可行的治疗方法,即使它不能预防复发。