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Yang, Yi, and Song: Multiple Giant Tumoral Calcinosis in Pelvic Region
Case Report

Journal of the Korean Orthopaedic Association 2013; 48(5): 402-406.

Published online: 25 October 2013

DOI: https://doi.org/10.4055/jkoa.2013.48.5.402

Multiple Giant Tumoral Calcinosis in Pelvic Region

Bo Kyu Yang, M.D., Seung Rim Yi, M.D., Joong Won Song, M.D.

Department of Orthopedic Surgery, National Police Hospital, Seoul, Korea.

Correspondence to: Seung Rim Yi, M.D. Department of Orthopedic Surgery, National Police Hospital, 123 Songi-ro, Songpa-gu, Seoul 138-708, Korea. TEL: +82-2-3400-1246, FAX: +82-2-449-2120, ysr@nph.go.kr

Received 14 April 2013       Revised 28 July 2013       Accepted 12 August 2013

Copyright © 2013 by The Korean Orthopaedic Association

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Tumoral calcinosis is a very rare disease in which calcium deposit is accumulated on soft tissue around joints without specific metabolic disorder of calcium or predisposing illnesses. Its causes have not been revealed clearly, and the disease has been known to occur rarely among Asian patients. We report a case of a multiple giant tumoral calcinosis patient who complained of painful masses in the groin region as well as in both buttocks and sacral area. The patient was evaluated to differentiate with other causes and have been treated with surgical excision. We present this case with a review of literature.

Keywords: pelvis region, calcinosis

Figures and Tables

Figure 1
Plain radiograph of hip joint. Preoperative plain radiograph of hip joint is showing huge multinodular calcified mass in both hip, sacrum, buttock.
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Figure 2
Bone scan images show hot uptake of both hip, sacrum, and buttock.
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Figure 3
Pathologic findings. Microscopic image is showing mass of amorphous eosinophilic calcified materials, which is bordered by multinucleated macrophages, osteoclast like giant cells, fibroblast and chronic inflammatory elements, separated by dense fibrous tissue bands (H&E, ×400).
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Figure 4
Plain radiograph of hip joint after 2nd excision and biopsy. Postoperative plain radiograph of hip joint shows complete excision of calcific masses.
jkoa-48-402-g004

References

1. Inclan A, Leon P, Gomez Camejo M. Tumoral calcinosis. JAMA. 1943; 121:490–495.
crossref
2. Suzuki K, Takahashi S, Perruchoud A, Tanaka Y, Sezai Y. Tumoral calcinosis in a patient undergoing hemodialysis. Acta Orthop Scand. 1979; 50:27–31.
crossref
3. Baldursson H, Evans EB, Dodge WF, Jackson WT. Tumoral calcinosis with hyperphosphatemia. A report of a family with incidence in four siblings. J Bone Joint Surg Am. 1969; 51:913–925.
4. Kim JM, Jeon HS, Jeon SJ, Moon CS, Kim SH. Tumoral calcinosis in the knee joint causing acute symptoms: a case report. J Korean Knee Soc. 2006; 18:241–244.
5. Cho JL, Kang CN, Park YS, Choe JW. Tumoral calcinosis at lumbar region: a case report. J Korean Soc Spine Surg. 2007; 14:207–211.
6. Chang JD, Lee WI, Choi SJ, Kim SW, Kang ST. Recurrent tumoral calcinosis: a case report. J Korean Bone Joint Tumor Soc. 2000; 6:82–87.
7. Buschmann WR, Myers W, Sager G. Tumoral calcinosis. Case presentation and review. Orthop Rev. 1989; 18:440–442.
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