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Tumoral calcinosis of the hand: three unusual cases with painful swelling of small joints

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Authors
Kim, H. S.; Suh, J. S.; Kim, Y. H.; Park, S. H.
Issue Date
2006-04-06
Publisher
College of American Pathologists
Citation
Arch Pathol Lab Med. 2006;130:548-551.
Keywords
AdultCalcinosis/*pathology/radiography/surgeryFemaleFinger Joint/*pathology/radiography/surgeryHumansJoint Diseases/*pathology/radiography/surgeryTreatment Outcome
Abstract
Tumoral calcinosis is a rare ectopic calcification syndrome characterized by irregular soft tissue masses originally described as being found mainly in large joints. We report 3 cases of tumoral calcinosis that occurred in unusual locations, the metacarpophalageal and proximal interphalangeal joints of the hand. The patients were women who ranged in age from 26 to 44; all presented with complaints of painful swelling of the joints. Laboratory tests demonstrated normal serum phosphate and calcium levels. Radiologic examination disclosed para-articular calcified masses. On surgical excision, the deep-seated calcified masses were attached to collateral ligaments of the joints. Milky and chalklike fluid was released during surgery. The masses measured 1.5, 0.9, and 0.8 cm in length and had irregular surfaces. Microscopically, the masses had fibrous capsule and the inner small cystic spaces that contained granular, calcified material. These cysts contained proliferating capillaries, mononuclear lymph plasma cells, and giant cells. No recurrences were found in any of the patients during the follow-up periods.
ISSN
1543-2165
http://arpa.allenpress.com/arpaonline/?request=get-document&doi=10.1043%2F1543-2165(2006)130%5B548:TCOTHT%5D2.0.CO%3B2
Language
English
URI
http://hdl.handle.net/10371/10188
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College of Medicine/School of Medicine (의과대학/대학원)Pathology (병리학전공)Journal Papers (저널논문_병리학전공)
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