Abstract
Tumoral calcinosis-like metastatic calcification in a patient with uremia on dialysis has rarely been reported in the radiological literatures. This report describes the radiographic, scintigraphic, ultrasound, and CT findings of this condition in a 54-year-old man who had a clinical history of renal dialysis for 6 years. Elevation of serum phosphate and parathyroid hormone levels was noted. Physical examination revealed a hard, movable, and tender mass over his left arm. Plain radiographs of the left shoulder showed an amorphous massive calcification in the upper arm. Scintigraphy showed increased tracer accumulation in the soft tissue of the proximal portion of the left arm and both thighs, where CT scan revealed multilocular, amorphous, calcified masses in these areas. Scintigraphy can help in screening multiple lesions, and CT scan may further help in identifying the extent of a localized lesion such as joint involvement. Ultrasound showed localized multiloculated fluid accumulation within hyperechoic masses and perifocal interstitial fluid collection, which can help to determine the activity of the lesion. Ultrasound findings of tumoral calcinosis have not been reported before.
| Original language | English |
|---|---|
| Pages (from-to) | 66-68 |
| Number of pages | 3 |
| Journal | Clinical Imaging |
| Volume | 30 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 2006 |
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Keywords
- Calcification
- Computed tomography (CT)
- Dialysis
- Hyperparathyroidism
- Renal osteodystrophy
- Scintigraphy
- Soft tissue
- Tumoral calcinosis
- Ultrasound
- Uremia
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Tumoral calcinosis-like metastatic calcification in a patient on renal dialysis. / Huang, Yung Tsung; Chen, Chia Yuen; Yang, Che Ming; Yao, Min Szu; Chan, Wing P.
In: Clinical Imaging, Vol. 30, No. 1, 01.2006, p. 66-68.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Tumoral calcinosis-like metastatic calcification in a patient on renal dialysis
AU - Huang, Yung Tsung
AU - Chen, Chia Yuen
AU - Yang, Che Ming
AU - Yao, Min Szu
AU - Chan, Wing P.
PY - 2006/1
Y1 - 2006/1
N2 - Tumoral calcinosis-like metastatic calcification in a patient with uremia on dialysis has rarely been reported in the radiological literatures. This report describes the radiographic, scintigraphic, ultrasound, and CT findings of this condition in a 54-year-old man who had a clinical history of renal dialysis for 6 years. Elevation of serum phosphate and parathyroid hormone levels was noted. Physical examination revealed a hard, movable, and tender mass over his left arm. Plain radiographs of the left shoulder showed an amorphous massive calcification in the upper arm. Scintigraphy showed increased tracer accumulation in the soft tissue of the proximal portion of the left arm and both thighs, where CT scan revealed multilocular, amorphous, calcified masses in these areas. Scintigraphy can help in screening multiple lesions, and CT scan may further help in identifying the extent of a localized lesion such as joint involvement. Ultrasound showed localized multiloculated fluid accumulation within hyperechoic masses and perifocal interstitial fluid collection, which can help to determine the activity of the lesion. Ultrasound findings of tumoral calcinosis have not been reported before.
AB - Tumoral calcinosis-like metastatic calcification in a patient with uremia on dialysis has rarely been reported in the radiological literatures. This report describes the radiographic, scintigraphic, ultrasound, and CT findings of this condition in a 54-year-old man who had a clinical history of renal dialysis for 6 years. Elevation of serum phosphate and parathyroid hormone levels was noted. Physical examination revealed a hard, movable, and tender mass over his left arm. Plain radiographs of the left shoulder showed an amorphous massive calcification in the upper arm. Scintigraphy showed increased tracer accumulation in the soft tissue of the proximal portion of the left arm and both thighs, where CT scan revealed multilocular, amorphous, calcified masses in these areas. Scintigraphy can help in screening multiple lesions, and CT scan may further help in identifying the extent of a localized lesion such as joint involvement. Ultrasound showed localized multiloculated fluid accumulation within hyperechoic masses and perifocal interstitial fluid collection, which can help to determine the activity of the lesion. Ultrasound findings of tumoral calcinosis have not been reported before.
KW - Calcification
KW - Computed tomography (CT)
KW - Dialysis
KW - Hyperparathyroidism
KW - Renal osteodystrophy
KW - Scintigraphy
KW - Soft tissue
KW - Tumoral calcinosis
KW - Ultrasound
KW - Uremia
UR - http://www.scopus.com/inward/record.url?scp=29244458129&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=29244458129&partnerID=8YFLogxK
U2 - 10.1016/j.clinimag.2005.06.024
DO - 10.1016/j.clinimag.2005.06.024
M3 - Article
VL - 30
SP - 66
EP - 68
JO - Clinical Imaging
JF - Clinical Imaging
SN - 0899-7071
IS - 1
ER -