Hip Pelvis.  2014 Mar;26(1):55-61. 10.5371/hp.2014.26.1.55.

Uremic Tumoral Calcinosis around the Hip Joint in a Patient on Hemodialysis

• Suh YS
• Choi HS
• Chun DI
• Choi SW
• Kim YB
• Chang BW
• Seo GW

• KMID: 2054164
• DOI: http://doi.org/10.5371/hp.2014.26.1.55

Abstract

The term tumoral calcinosis in used to describe the deposition of nodular calcareous masses in the soft tissue around large joints, such as the hips, shoulders, and elbows. Although the cause has not yet been clearly determined, according to the hypothesis, failure of phosphorus metabolism in the proximal tubule in kidney, chronic renal disease and hyperparathyroidism may cause tumoral calcinosis. No cases of tumoral calcinosis treated with surgical resection in chronic renal failure patients on hemodialysis, so called uremic tumoral calcinosis, have been reported in Korea. The authors experienced the case of a 57-year-old woman with chronic kidney disease on hemodialysis who presented with a mass around the hip. We made a diagnosis using plain radiographs, magnetic resonance imaging, and computed tomography of tumoral calcinosis, and treated the patient successfully with surgical resection. We report on a case of uremic tumoral calcinosis with a review of the literature.

Keyword

Tumoral calcinosis; Hip; Hemodialysis

MeSH Terms

Calcinosis*
Diagnosis
Elbow
Female
Hip
Hip Joint*
Humans
Hyperparathyroidism
Joints
Kidney
Kidney Failure, Chronic
Korea
Magnetic Resonance Imaging
Metabolism
Middle Aged
Phosphorus
Renal Dialysis*
Renal Insufficiency, Chronic
Shoulder
Phosphorus