A Case of Giant Calcinosis of the Axillary Space in a Patient with Scleroderma

UCHIDA Tsuyoshi, NAGASAKA Satoshi, YOKOTE Fumi, ARIMOTO Yoshihito, KINA Satsuki

doi:10.3919/jjsa.76.3079

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Other Title

強皮症患者の腋窩に生じた巨大石灰化の1例
症例強皮症患者の腋窩に生じた巨大石灰化の1例
ショウレイキョウヒショウカンジャノエキカニショウジタキョダイセキハイカノ 1レイ

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Abstract

It is known that patients with collagenosis often have calcinosis. However, treatment has not been established for calcinosis, because the mechanism is still unknown. A woman in her 70s had systemic scleroderma with a large mass in the left chest wall, and she was referred to our hospital for surgical resection. The mass was >15 cm in diameter, and it was partially perforated through the skin. She underwent resection of the mass. Since the left subclavian artery and the mass were close to one another, we carefully resected the mass not to injure the artery. The postoperative course was uneventful, and she has had no recurrence as of 8 months after the operation. Generally, conservative treatment should precede surgical resection for calcinosis, but surgical resection is performed when the mass shows an increasing tendency. In this case, the patient had been followed despite the mass tended to enlarge. Fortunately the mass could be resectable in this case. Delayed surgery may allow appearance of complications and lose appropriate time for surgical resection. It is important to decide when to perform surgical resection.

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 76 (12), 3079-3082, 2015

Japan Surgical Association

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