부산대학교 도서관

A 50-year-old woman who had been on hemodialysis for five years was referred to our hospital for treatment of tumoral calcinosis. Two years previously tumoral calcinosis due to vitamin-D associated hypercalcemia was first noted in her left shoulder and left hip. The lesions were not ameliorated by any conservative medication, and the hip lesion made it difficult for the patient to walk. After admission, the hip lesion was surgically removed, but long-term medication, such as sodium-bicarbonate, calcitonin and low calcium dialysate failed to improve the shoulder lesion. The shoulder lesion repeatedly ruptured via a tumor-cutaneous fistula and was complicated by sepsis due to intratumoral infection. Local management of the infectious lesion was necessary for two weeks to bring about healing.In conclusion, we recommend surgical treatment for this condition rather than conservative therapy, which tends to be of long duration, and involves complications.