Abstract:
Primary tumoral calcinosis is a rare and benign condition characterized by calcium salt deposition in periarticular soft tissues. It typically presents as a firm, rubbery mass that arises around large joints. While an estimated 250 cases have been described since its discovery, very few cases have been identified in the hand. We present a case of multiple calcified masses in the hand, one of which required meticulous dissection from a digital neurovascular bundle, and our technique for surgical excision. We present this case to lower the threshold for clinical suspicion of tumoral calcinosis for patients who present with a soft tissue mass in the hand. Furthermore, we recommend prompt surgical excision due to low success rates of alternative treatment options and to prevent potential neurovasculature or tendon injury.
摘要:
原发性肿瘤钙质沉着症是一种罕见且良性的疾病,其特征是关节周围软组织中的钙盐沉积。它通常作为一家公司,在大关节周围出现的橡胶块。虽然自发现以来估计已经描述了250例,很少有病例被发现。我们提出了一个手上有多个钙化肿块的病例,其中一个需要对数字神经血管束进行细致的解剖,还有我们的手术切除技术.我们提出这种情况是为了降低手部软组织肿块患者临床怀疑肿瘤钙质沉着的阈值。此外,由于替代治疗方案的成功率较低,我们建议及时手术切除,并防止潜在的神经血管或肌腱损伤.