Large tumoral calcinosis and pathological femur fracture in a hemodialysis patient with secondary hyperparathyroidism

Authors

  • Xiwei Liu Department of Orthopedics, West China Hospital, Sichuan University, Chengdu
  • Song Hong Department of Orthopedics, West China Hospital, Sichuan University, Chengdu
  • Ganjun Chen Department of Pathology, West China Hospital, Sichuan University, Chengdu
  • Chongqi Tu Department of Orthopedics, West China Hospital, Sichuan University, Chengdu

Keywords:

Tumoral calcinosis, Pathological fracture, Hemodialysis, Secondary hyperparathyroidism

Abstract

Tumoral Calcinosis (TC) is a rare complication of uremic patients on dialysis. Bone erosion or fracture rarely happens in TC patients. TC is easy to be misdiagnosed as a malignant bone tumor by inexperienced orthopedists. We report the clinical, radiological and magnetic resonance imaging findings in a rare case of large TC which caused femur erosion both and fracture in a 49-year-old woman with uremia and secondary hyperparathyroidism (HPT) on hemodialysis and describe the surgical treatment and pathology results.

Metrics

Metrics Loading ...

References

Shpilberg KA, Blowe SE, Som PM. Mass-like and extensive secondary tumoral calcinosis in the neck and body of a patient on peritoneal dialysis. Clin Imaging. 2013;37(5):972-5.

Olsen KM, Chew FS. Tumoral calcinosis: pearls, polemics, and alternative possibilities. Radiographics. 2006;26(3):871-85.

Huang YT, Chen CY, Yang CM, Yao MS, Chan WP. Tumoral calcinosis-like metastatic calcification in a patient on renal dialysis. Clin Imaging. 2006;30(1):66-8.

Meltzer CC, Fishman EK, Scott WW Jr. Tumoral calcinosis causing bone erosion in a renal dialysis patient. Clin Imaging. 1992;16(1):49-51.

Ureten K, Oztürk MA, Ozbek M, Unverdi S. Spontaneous and simultaneous rupture of both Achilles tendons and pathological fracture of the femur neck in a patient receiving long-term hemodialysis. Int Urol Nephrol. 2008;40(4):1103-6.

Faur D, Pérez-Bovet J, Ferrer SM, Prats MV. Pathologic cervical fracture in a patient with secondary hyperparathyroidism. Kidney Int. 2013;83(5):974.

Demetriades A, Wong F, Ellamushi H, Afshar F, Yeh J. Balloon kyphoplasty treatment for a spontaneous vertebral fracture in renal osteodystrophy. BMJ Case Rep. 2011;2011: pii: bcr0220113890.

Younes M, Belghali S, Zrour-Hassen S, Béjia I, Touzi M, Bergaoui N. Complete reversal of tumoral calcinosis after subtotal parathyroidectomy in a hemodialysis patient. Joint Bone Spine. 2008;75(5):606-9.

Chu HY, Chu P, Lin YF, Chou HK, Lin SH. Uremic tumoral calcinosis in patients on peritoneal dialysis: clinical, radiologic, and laboratory features. Perit Dial Int. 2011;31(4):430-9.

Mohamed S, Jong-Hun J, Weon-Yoo K. Tumoral calcinosis of the foot with unusual presentation in an 11-year-old boy: a case report and review of literature. J Postgrad Med. 2007;53(4):247-9.

Downloads

Published

2016-12-11

How to Cite

Liu, X., Hong, S., Chen, G., & Tu, C. (2016). Large tumoral calcinosis and pathological femur fracture in a hemodialysis patient with secondary hyperparathyroidism. International Surgery Journal, 2(1), 91–94. Retrieved from https://www.ijsurgery.com/index.php/isj/article/view/492