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TUMORAL CALCINOSIS WITH "FLUID LEVELS" IN THE TUMORAL MASSES

T. M. KOLAWOLE M.B B.S.(LOND.), D.M.R.D., F.F.R. and S. P. BOHRER M.D., F.M.C.R. (NIGERIA)

A case of tumoral calcinosis in a 7 year old Nigerian boy is presented. The clinical and roentgenologic features are described.

The symmetric scapular lesions showed fluid levels on the erect posteroanterior roentgenogram of the chest; no gas or contrast medium had been introduced.

This appearance correlates well with the macroscopic appearance of the lesion which is an encapsulated mass with multiple cysts, each cyst containing fluid with debris of calcific structures.

Biochemical alterations were present. These are discussed, especially the high values of the serum phosphorus which has been observed by others. This and other evidence suggest that tumoral calcinosis is a dystrophic calcification in areas of chronic trauma in patients who may have an error of metabolism.


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