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A case of symptomatic tumoral calcinosis on the great toe and review of the literature

  • Orthopaedic Surgery
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Abstract

A 67-year-old woman with no specific medical history showed a hard mass on her great toe for several years. The lesion was elastic, round, and had good mobility. An X-ray showed the lesion to be a calcified “chicken wire” lesion; CT and MRI findings indicated it as a benign subcutaneous calcified tumor. Therefore, a resection biopsy was performed. The mass was a 20 × 20 mm calcified tumor diagnosed as tumoral calcinosis. Pathological findings showed that the calcified lesion lay in fibrous connective tissue and characteristic cells were seen around the calcification site. In this case, the lesion was mature and surgical resection was successful. The patient showed no symptoms or recurrence 3 years after the surgery.

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Reference

  1. Inclan A, Leon P, Camejo MG (1943) Tumoral calcinosis. JAMA 121:490–495

    Google Scholar 

  2. Pakasa NM, Kalengayi RM (1997) Tumoral calcinosis: a clinicopathological study of 111 cases with emphasis on the earliest changes. Histology 31:18

    CAS  Google Scholar 

  3. Harkess JW, Peters HJ (1967) Tumoral calcinosis. A report of six cases. Bone Joint Surg Am 49:721–731

    CAS  Google Scholar 

  4. Hayashi K, Tsutiya H, Yamamoto N (2004) Large tumoral calcinosis in foot. Rinsyo-seikeigeka (Japanese) 39:1579–1582

    Google Scholar 

  5. Polykandriotis EP, Beutel FK, Horch RE, Grünert J (2004) A case of familial tumoral calcinosis in a neonate and review of the literature. Arch Orthop Trauma Surg 124:563–567

    Article  PubMed  Google Scholar 

  6. Steinbach LS, Johnson JO (1995) Tumoral calcinosis: radiologic–pathologic correlation. Skeletal Radiol 24:573–578

    Article  PubMed  CAS  Google Scholar 

  7. Narchi H (1997) Hyperostosis with hyperphosphatemia: evidence of familial occurrence and association with tumoral calcinosis. Pediatrics 99:745–748

    Article  PubMed  CAS  Google Scholar 

  8. Smack D, Norton SA, Fitzpatrick JE (1996) Proposal for a pathogenesis-based classification of tumoral calcinosis. Int J Dermatol 35:265–271

    Article  PubMed  CAS  Google Scholar 

  9. Senol U, Karaal K, Cevikol C (2000) MR imaging findings of recurrent tumoral calcinosis. Clin Imaging 24:154–156

    Article  PubMed  CAS  Google Scholar 

  10. Domb BG, Tyler W, Ellis S (2004) Radiographic evaluation of pathological bone lesions: current spectrum of disease and approach to diagnosis. J Bone Joint Surg Am 86-A(suppl 2):84–90

    PubMed  Google Scholar 

  11. Gregosiewicz A, Warda E (1989) Tumoral calcinosis: successful medical treatment. A case report. J Bone Joint Surg Am 71:1244–1249

    CAS  Google Scholar 

  12. Kirs TS, Simon MA (1981) Tumoral calcinosis. Report of a case with successful medical management. J Bone Joint Surg Am 63:1167–1169

    Google Scholar 

  13. Möckel G, Buttgereit F, Labs K, Perka C (2005) Tumoral calcinosis revisited: pathophysiology and treatment. Rheumatol Int 25:55–59

    Article  PubMed  Google Scholar 

  14. Seyahi A, Atalar AC, Ergin HK (2006) Tumoral calcinosis: Clinical and biochemical aspects of a patient treated with vinpocetine. Eur J Intern Med 17:436–438

    Article  PubMed  CAS  Google Scholar 

  15. Giardina F, Sudanese A, Bertoni F (2004) Tumoral calcinosis of the popliteal space. Orthopedics 27:1104–1107

    PubMed  Google Scholar 

  16. Majeed SA (1994) Chronic recurrent multifocal osteomyelitis associated with tumoral calcinosis. J Bone Joint Surg Br 76:325–327

    PubMed  CAS  Google Scholar 

  17. Rai AS, Vincenti AC, Samuel AW (1994) Tumour calcinosis. J Bone Joint Surg Br 76:324–325

    PubMed  CAS  Google Scholar 

  18. Hammoud S, McCarthy EF, Weber K (2005) Tumoral calcinosis in infants: a report of three cases and review of the literature. Clin Orthop Relat Res 436:261–264

    Article  PubMed  Google Scholar 

  19. Weiss SW, Goldblum JR (2001) Enzinger and Weiss’s soft tissue tumors. Mosby,St.Louis

  20. Aydin A, Tuncer S, Erer M (2004) Tumoral calcinosis infiltrating the biceps brachii tendon–excision and reconstruction with allograft: a case report. J Hand Surg [Br]. 29:170–172

    CAS  Google Scholar 

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Correspondence to Masaru Kadowaki.

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Kadowaki, M., Naito, K., Tobita, M. et al. A case of symptomatic tumoral calcinosis on the great toe and review of the literature . Arch Orthop Trauma Surg 128, 551–554 (2008). https://doi.org/10.1007/s00402-007-0310-2

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  • DOI: https://doi.org/10.1007/s00402-007-0310-2

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