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A case report of uremic tumoral calcinosis in the head and neck and literature review of calcified lesions of the head and neck.

Authors :
Kim J
Johnson BR
Tamaki A
Lavertu P
Source :
American journal of otolaryngology [Am J Otolaryngol] 2023 Jul-Aug; Vol. 44 (4), pp. 103862. Date of Electronic Publication: 2023 Mar 24.
Publication Year :
2023

Abstract

Soft-tissue calcifications in the head and neck are relatively common and are the result of a wide variety of benign and malignant pathologies. They can present a diagnostic challenge given the broad range of underlying etiologies. Uremic tumoral calcinosis (UTC) is a rare complication of end-stage renal disease (ESRD) resulting from metastatic soft tissue calcification. Common sites include periarticular soft tissues of the shoulders, elbows, and hands (Pan and Chen, 2016). UTC can also affect the cervical spine and mimic osteosarcomas (Zhou et al., 2018). We present the case of a 71-year-old female with hypertension, left carotid artery stenosis, mitral valve prolapse, and ESRD secondary to diabetes mellitus type II (DMII) on peritoneal dialysis who was found to have large, heterogeneous, bilateral calcified neck masses. Given her clinical history, laboratory results, and imaging findings, she was diagnosed with UTC. In addition to this case, we provide an overview of tumoral calcinosis (TC) and a differential diagnosis for calcified lesions of the head and neck.<br />Competing Interests: Conflicts of interest None to disclose.<br /> (Copyright © 2023 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1532-818X
Volume :
44
Issue :
4
Database :
MEDLINE
Journal :
American journal of otolaryngology
Publication Type :
Academic Journal
Accession number :
37001394
Full Text :
https://doi.org/10.1016/j.amjoto.2023.103862