Gupta R K, Naran S, Cheung Y K
Department of Cytology, Wellington Hospital and School of Medicine, New Zealand.
Diagn Cytopathol. 1998 Dec;19(6):465-7. doi: 10.1002/(sici)1097-0339(199812)19:6<465::aid-dc13>3.0.co;2-i.
Calcinosis cutis is an uncommon condition, and calcific deposits in patients with end-stage renal disease are now somewhat rare, due to improvement in management. Since calcific deposits may clinically resemble a tumor, it is feasible to investigate them by fine-needle aspiration cytology (FNAC). A 52-yr-old male with a history of end-stage renal failure presented with a 2-cm mass in the left chest wall. Within 6 mo the mass enlarged to nearly four times its original size. In view of clinical suspicion of malignancy, FNAC was performed. Cytopreparations showed abundant calcium, indicative of soft-tissue calcinosis. The case is interesting, since the known history of end-stage renal failure enabled the FNAC diagnosis of soft-tissue calcinosis.
皮肤钙化症是一种罕见病症，由于管理的改善，终末期肾病患者中的钙化沉积现在已较为少见。由于钙化沉积在临床上可能类似于肿瘤，通过细针穿刺细胞学检查（FNAC）对其进行研究是可行的。一名52岁有终末期肾衰竭病史的男性，左胸壁出现一个2厘米的肿块。在6个月内，肿块增大至近原来大小的四倍。鉴于临床怀疑为恶性肿瘤，进行了FNAC检查。细胞涂片显示有大量钙，提示软组织钙化症。该病例很有趣，因为终末期肾衰竭的已知病史使得通过FNAC诊断出软组织钙化症。
