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Scholars Journal of Medical Case Reports | Volume-13 | Issue-05
Secondary Pseudotumoral Calcinosis: A Deceptive Mass with the Appearance of a Tumor
I. Daha, I. Akhiyat, Y. Bouktib, A. Elhejjami, B. Boutakioute, M. Ouali Idrissi, N. Cherif Idrissi El Ganouni
Published: May 19, 2025 | 102 40
Pages: 1047-1049
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Abstract
Secondary pseudotumoral calcinosis is a rare condition characterized by ectopic deposits of calcium phosphate, commonly occurring in patients undergoing hemodialysis. This clinical case involves a 34-year-old man with end-stage chronic kidney disease who developed a painful pubic mass mimicking a malignant tumor. Clinical examination and radiological investigations, particularly computed tomography, revealed a calcified mass with cystic formations showing liquid-liquid levels due to calcium deposits, confirming the diagnosis of secondary pseudotumoral calcinosis. Associated biological abnormalities included hypercalcemia, hyperphosphatemia, and secondary hyperparathyroidism. An appropriate management plan including regulation of the calcium-phosphate metabolism, dialysis sessions, phosphate binders, and a parathyroidectomy resulted in effective control of the condition. This rare case highlights the importance of early detection and proper therapeutic management to prevent mechanical and inflammatory complications associated with this condition, particularly in patients with end-stage renal disease undergoing hemodialysis.