Abstract
Pseudotumoral calcinosis is a rare benign tumor, characterized by deep calcium deposition in peri-articular soft tissues. A numerous list of calcium deposit diseases exists making the calcinosis diagnosis very challenging. There are three principal forms or etiologies; primary or idiopathic forms followed by secondary forms due to chronic renal failure or hyperparathyroidism, then genetic forms such as Hyperphosphatemic Familial Tumoral Calcinosis (HFTC). We report a case of 14-year-old boy with primary tumoral calcinosis of the right hip. Total mass resection was performed without any recurrence at one-year follow-up.
Highlights
We report a case of 14-year-old boy with primary tumoral calcinosis of the right hip
Pseudotumoral calcinosis is an uncommon and benign condition that generally occurs as a complication of microtrauma or renal dialysis, rarely as a genetic form occurring essentially in tropical and subtropical African regions
We have found a slight hyperphosphatemia with normal blood test levels of calcium, alkaline phosphatase, parathyroid hormone and renal function
Summary
Pseudotumoral calcinosis is an uncommon and benign condition that generally occurs as a complication of microtrauma or renal dialysis, rarely as a genetic form occurring essentially in tropical and subtropical African regions. This periarticular tumor-like is frequently associated with hyperphosphatemia, that is manifested by the sedimentation of calcium particles around major joints. Surgical biopsy and resection was decided through direct longitudinal approach, it was a lesion containing granular and sandy constituents in a fluid milky-like substance which was completely aspirate for histopathologic study which confirmed a diagnosis of calcinosis without any malignancy, it was composed of large cystic areas with multiple calcified deposits surrounded by mononuclear and giant cells (Figure 4). Figure 2: pelvis anteroposterior X-rays, showing a popcorn-like ossified lesion in the soft tissues of the right peritrochanteric region (arrow)
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