scholarly journals Unilateral Idiopathic Calcinosis Cutis: A Case Report

2017 ◽  
Vol 9 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Fahad Alsaif ◽  
Amr M. Abduljabbar

Calcinosis cutis is a rare disorder characterized by the deposition of calcium in the skin and subcutaneous tissue. Unilateral idiopathic calcinosis cutis has only rarely been reported in the literature. Here, we report the case of a 7-year-old healthy girl who presented with multiple asymptomatic hard nodules on the right side of her body. Histopathological, radiological, and extensive blood investigations confirmed the diagnosis of unilateral idiopathic calcinosis cutis.

2022 ◽  
pp. 541-543
Author(s):  
Nidha Gaffoor ◽  
Hima Sree Edupuganti ◽  
Jessica Minal ◽  
Archana Shetty ◽  
Supriya T R ◽  
...  

Calcinosis cutis is an uncommon soft tissue lesion characterized by the deposition of calcium salts in the skin or subcutaneous tissue attributed to a wide variety of causes. We present a case of idiopathic calcinosis cutis in an adult male, who presented with a swelling in the right iliac region. Chalky white aspirate and amorphous basophilic granular material on microscopy suggestive of calcium deposits were noted. Histopathological examination of the excised mass coupled with appropriate clinical background led to the final diagnosis of idiopathic calcinosis cutis. We present this case with a complete diagnostic workup to undermine the importance of considering this lesion in the differential diagnoses of a subcutaneous hard lump in an otherwise healthy patient.


2020 ◽  
Vol 12 (6) ◽  
pp. 127-128
Author(s):  
Susana Rodrigues ◽  
Catrine Ferreira ◽  
Tiago Coelho ◽  
Diogo Gaspar ◽  
Jean Fallah ◽  
...  

Calcinosis cutis is a rare disorder characterized by of deposition of insoluble calcium salts in the skin and subcutaneous tissue. Five subtypes of calcinosis cutis are described: dystrophic, metastatic, idiopathic, iatrogenic, and calciphylaxis.1 Of these subtypes, dystrophic calcinosis (DC) is the most common, and it is the most frequently seen in association with underlying autoimmune connective tissue diseases.2 Dermatomyositis, systemic sclerosis and less commonly systemic lupus erythematous were described to be complicated by DC. However, DC associated with rheumatoid arthritis (RA) is extremely rare.2 The condition causes substantial morbidity and is associated with pain and limitation of movement when the process involves areas close to joints or when ulceration occurs.2 We report a middle age Sudanese woman with good controlled RA who developed dystrophic calcinosis cutis.


1970 ◽  
Vol 5 (2) ◽  
pp. 139-147
Author(s):  
Paula Boson Trotta ◽  
Karen Guimarães Rosa ◽  
Luciano Martins Alves da Rosa Martins Alves da Rosa

RESUMOIntrodução: O Sarcoma Fibroblástico Mixoinflamatório (SFMI) é um tumor de partes moles de baixo grau, raro, que apresenta predileção equivalente em ambos os gêneros, sem sofrer influência de fatores genéticos ou ambientais. Apresenta sintomas inespecíficos, o que dificulta o diagnóstico. A dor está presente no diagnóstico em cerca de 17% dos pacientes. Outro fator que atrapalha o diagnóstico está na raridade do tumor e inabilidade técnica de detectá-lo. Casuística: Apresenta-se um caso de um paciente do sexo masculino, de 47 anos encaminhado ao ortopedista com tumoração em região distal do segundo quirodáctilo da mão direita. Após cirurgia de ressecção tumoral foi detectado um tecido que se originava na falange distal e tinha coloração amarelada e consistência densa, mesclado com o subcutâneo. Observou-se isquemia transitória na polpa digital da falange distal ainda durante a cirurgia. Posterior exame imuno-histoquímico revelou tratar-se de um Sarcoma Fibroblástico Mixoinflamatório. Após a cirurgia, o paciente retorna com necrose da polpa digital submetida a cirurgia. Foi realizada limpeza e debridamento do tecido necrótico. O paciente evoluiu bem com total epitelização da área cruenta. Conclusão: Foi concluído tratar-se de um sarcoma de difícil diagnóstico, porém de baixa metastatização e bom prognostico.Palavras-chave: Sarcoma, Isquemia, Necrose. ABSTRACTIntroduction: Myxoinflammatory Fibroblastic Sarcoma is a low-grade, rare tumor of soft parts that presents equivalent predilection for both genders  suffering no influence of genetic or enviormental factors. It has non-specific symptoms, making it difficult to diagnose. Pain appears in the diagnosis only in 17% of patients. Another factor that hinders the diagnosis is in the fewness numbers of patients that have it, and the technical inability to detect it. Case Report: This case report describes the case of a male patient, 47 years old, that referred to the orthopedist a tumor in the distal region of the second finger of the right hand. After tumor resection it was detected a tissue that originated in the distal phalanx and had a yellowish color and dense consistency, mixed with the subcutaneous tissue. It was observed transient ischemia in the digital pulp of the distal phalanx during surgery. Subsequent immunohistochemical examination revealed that it was Myxoinflammatory Fibroblastic Sarcoma. After the surgery, the patient returned with necrosis of the fingertip. Cleaning and debridement of necrotic tissue was performed. The patient developed a complete epithelialization of the wound area. Conclusion: The conclusion is that this is a sarcoma which is difficult to diagnose, but with low metastasis and good prognosis.Keywords: Sarcoma, Ischemia, Necrosis.


2021 ◽  
Vol 100 (4) ◽  

Introduction: Sebaceous carcinoma is a rare malignant tumor of the sebaceous glands. Sebaceous carcinoma occurs mainly in the head and neck region, rarely in trunk. Case report: We present a case report of 63-year-old patient, operated on for sebaceous carcinoma in the right breast area. The patient underwent radical surgery, removal of the tumor with the skin, subcutaneous tissue, and the large pectoral muscle. The patient is in good clinical condition eight months after the surgery. She is being constantly monitored and so far, there are neither signs of local recurrence nor tumor progression. Conclusion: Patients with rare tumors should be treated comprehensively with subsequent lifelong dispensarisation in specialized centers. Multidisciplinary medical teams are able to eruditely diagnose, recognize, treat and dispense patients.


2020 ◽  
Vol 48 (8) ◽  
pp. 030006052091481
Author(s):  
Lei Wang ◽  
Nian-Jun Ren ◽  
Hao Cai ◽  
Hao-Feng Cheng ◽  
Hai-Lin Zhang ◽  
...  

Solitary plasmacytoma (SP) of the skull is an uncommon clinical entity that is characterized by a localized proliferation of neoplastic monoclonal plasma cells. This case report describes a 50-year-old male that presented with a headache and an exophytic soft mass on the occiput. The diagnosis of SP was based on the pathological results and imaging examinations. The patient underwent occipital craniotomy, skull reconstruction and lower trapezius myocutaneous flap (LTMF) transplantation under general anaesthesia. The tumour was capsulized and extended to the subcutaneous and the subdural space through the dura mater with skull defects. The neoplasm of the occipital bone involved large areas of scalp and subcutaneous tissue, which resulted in a large postoperative scalp defect that was repaired using LTMF transplantation. All of the tumour was removed and the transplanted flap grew well. Follow-up at 5 months identified an aggressive mass lesion on the right frontal lobe. The patient received six cycles of the PAD chemotherapy regimen (bortezomib, doxorubicin and dexamethasone) and the lesion was significantly reduced. This case demonstrates that LTMF is an alternative approach for the repair of scalp and subcutaneous soft tissue defects caused by the excision of a large malignant tumour of the occipital region. Chemotherapy is the choice of treatment for neoplastic recurrence.


2017 ◽  
Vol 102 (1-2) ◽  
pp. 77-80
Author(s):  
David S. Sparks ◽  
Brandon M. Adams ◽  
Michael Wagels

Ventriculoperitoneal shunts (VPSs) are commonly used for the management of raised intraventricular pressure, especially in the context of hydrocephalus. Malignant invasion involving a VPS is an exceedingly rare association, only reported three times in the literature to date. We present the involvement of a VPS with a recurrent basal cell carcinoma (BCC), which has not been described previously. It was theorized that previously breached tissue planes associated with the VPS tract might facilitate local spread of the BCC. As such, this case represented an exceedingly rare association that has important conceptual implications for definitive surgical management. A 51-year-old paraplegic man with spina bifida and hydrocephalus, who had been immunosuppressed for 7 years following a renal transplantation, presented to our clinic with a recurrent BCC involving an inactive VPS in the right neck. Surgical management involved an excision of the scar with a peripheral margin of 1 cm, along with removal of the involved shunt tract and intraoperative pathologic assessment. Definitive histopathology revealed a focus of infiltrating sclerosing BCC involving the subcutaneous tissue and abutting the VPS. As the scope for synthetic materials in surgery continues to expand, so does the multitude of interesting complications that appear to arise from interactions between host tissue and foreign bodies. This case report describes a fascinating relationship between a recurrent BCC and a VPS, providing a guide for future management to ensure adequate surgical clearance. The case would be of interest to head/neck surgeons, neurosurgeons, and plastic surgeons.


2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Talha Tawekji ◽  
Mohammad-Nasan Abdul-Baki ◽  
Yaseen Dhemesh ◽  
Thaer Douri

Abstract Calcinosis cutis is characterized by the deposition of calcium salts in the skin and subcutaneous tissue. It is divided into the following subtypes: dystrophic, metastatic, iatrogenic, idiopathic and calciphylaxis. In this case, we report a 13-year-old Syrian boy with idiopathic calcinosis cutis, the lesions were unusually widespread, unlike the common condition which is usually localized to one area. The case was unrelated to any systemic or local disorders, and the patient had no complications, so no treatment was planned. As the best of our knowledge, there are very few cases of diffuse or widespread idiopathic calcinosis cutis. We analyzed the clinical, laboratory, radiographical and pathological characteristics of our patient, which helped us to reach the final diagnosis. We will discuss the pathogenesis, investigation and management of this disease.


2005 ◽  
Vol 38 (4) ◽  
pp. 348-350 ◽  
Author(s):  
Leonora Maciel de Souza Vianna ◽  
Marcus Vinícius Guimarães de Lacerda ◽  
Mário Augusto Pinto de Moraes

The authors describe a case of entomophthoromycosis in a previously healthy patient, who presented with an abscess in the right buttock. After surgical drainage it evolved into a retroperitoneal tumor. The patient improved clinically after resection of the mass and ketoconazole treatment. The histopathological analysis showed the Splendore-Hoeppli phenomenon, suggesting Basidiobolus ranarum infection, a zygomycosis generally restricted to the subcutaneous tissue, with rare gastrointestinal involvement.


Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 263-266 ◽  
Author(s):  
Katsuyasu Fukasawa ◽  
Makoto Samejima ◽  
Koichi Kobayashi

Myxoinflammatory fibroblastic sarcoma (MIFS) is a rare low-grade sarcoma that occurs in the subcutaneous tissue of the distal extremities.MIFS was first described in 1998. There are many differential diagnoses, and it can often be mistaken for several different inflammatory and neoplastic processes, which may require different treatment.There is much literature published for pathologists, but only a few reports for orthopedic surgeons to treat such tumors.It is significant and important to report this additional case of MIFS that occurred in the right ring finger and to acknowledge the very existence of the tumor as a differential diagnosis to be made by hand surgeons.Hand surgeons need to be mindful of MIFS, its nature, and the appropriate treatment necessary for this unique tumor.


VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.


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