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Intramuscular tumoral calcinosis near the arteriovenous fistula mimicking acute infection
Science Progress ( IF 2.1 ) Pub Date : 2021-06-22 , DOI: 10.1177/00368504211018560
Qianjun Jin 1 , Haiying Zhou 2 , Hui Lu 1
Affiliation  

Tumoral calcinosis is a kind of tumorous calcified masses, which may progress in patients with chronic renal failure. Uremic tumoral calcinosis in the brachioradialis muscle presented like acute infection of the arteriovenous fistula has not been previously reported. A 49-year-old man came to our hospital with a 9-year history of hemodialysis and secondary hyperparathyroidism. He had a huge painful mass in the left forearm at admission. The treatment was debridement and cytoreductive surgery accompanied by parathyroidectomy and medical management of calcium phosphate imbalance. After the comprehensive treatment, the patient recovered from his previously affected forearm. This is an enlightening case of intramuscular tumoral calcinosis mass that presented mimicking the infection of the arteriovenous fistula. Nephrologists and surgeons should pay attention to early diagnosis and proper management of the primary disease to master the indication and opportunity of resection.



中文翻译:

动静脉瘘附近的肌内肿瘤性钙质沉着类似急性感染

肿瘤性钙质沉着症是一种肿瘤性钙化肿块,在慢性肾功能衰竭患者中可能进展。此前尚未报道过像动静脉瘘急性感染一样的肱桡肌尿毒症肿瘤钙质沉着症。患者男性,49岁,有9年血液透析病史,继发性甲状旁腺功能亢进症来我院就诊。入院时,他的左前臂有一个巨大的疼痛肿块。治疗方法是清创术和细胞减灭术,同时进行甲状旁腺切除术和磷酸钙失衡的药物治疗。经过综合治疗,患者之前受影响的前臂已经康复。这是一个具有启发性的肌内肿瘤性钙质沉着性肿块病例,其表现类似于动静脉瘘的感染。肾病科医生和外科医生应重视原发病的早期诊断和正确处理,掌握切除的指征和时机。

更新日期:2021-06-23
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