Abstract :
Tumoral calcinosis or Teutschlaender disease is a relatively rare pseudotumor of unknown origin, characterized by the accumulation of calcium salts in peri-articular soft tissues despite normal plasma levels of calcium and parathyroid hormone. We report a case of tumoral calcinosis in a 26-year-old male patient presenting with a firm mass of soft tissue and limitation of bilateral hip joint. Laboratory investigations revealed a serum calcium level of 10.1mg/dl (Normal) and a serum phosphorous level of 4.2 mg/dl (Normal). PTH level was within normal limit (12.9 pg/dl) with vitamin D level of 40.2 nmol/L (Insufficient). Patient was taken up for surgery, en-bloc excision was done. A biopsy of the soft-tissue masses was sent for histopathology, which was suggestive of lobules of calcific material surrounded by histiocytic giant cells and was diagnosed as tumoral calcinosis. After 6 months of followup patients is doing well with good range of movement at left hip joint with no signs of recurrance. In coclusion, early recognition of Tumoral calcinosis and appropriate management are crucial to mitigate symptoms and improve patient outcomes.
Keyword :
Tumoral Calcinosis, Calcium Phosphate Crystals, Dystrophic Calcification