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Calcific myonecrosis mimicking soft tissue sarcoma: A case report

Calcific myonecrosis is a rare soft tissue condition. The first case was reported in 1960, however, the precise pathophysiology of calcific myonecrosis remains unclear. The disease was thought to arise from compartment syndrome within a confined space resulting in necrosis and fibrosis, subsequent r...

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Autores principales: Ukon, Yuichiro, Tanaka, Takaaki, Nagata, Shigenori, Hagizawa, Hiroki, Imura, Yoshinori, Tamiya, Hironari, Oshima, Kazuya, Naka, Norifumi, Aoki, Yasuaki, Kuratsu, Shigeyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5920900/
https://www.ncbi.nlm.nih.gov/pubmed/29731908
http://dx.doi.org/10.3892/ol.2018.8320
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author Ukon, Yuichiro
Tanaka, Takaaki
Nagata, Shigenori
Hagizawa, Hiroki
Imura, Yoshinori
Tamiya, Hironari
Oshima, Kazuya
Naka, Norifumi
Aoki, Yasuaki
Kuratsu, Shigeyuki
author_facet Ukon, Yuichiro
Tanaka, Takaaki
Nagata, Shigenori
Hagizawa, Hiroki
Imura, Yoshinori
Tamiya, Hironari
Oshima, Kazuya
Naka, Norifumi
Aoki, Yasuaki
Kuratsu, Shigeyuki
author_sort Ukon, Yuichiro
collection PubMed
description Calcific myonecrosis is a rare soft tissue condition. The first case was reported in 1960, however, the precise pathophysiology of calcific myonecrosis remains unclear. The disease was thought to arise from compartment syndrome within a confined space resulting in necrosis and fibrosis, subsequent repeated intralesional hemorrhage, mass enlargement and calcification. Several previous reports have described calcific myonecrosis, which include the formation of calcific myonecrosis after a prolonged period of post trauma. Notably, calcific myonecrosis has typically been described in the lower legs and characteristic imaging findings have been indicated. Furthermore, surgical intervention carries a high risk of complications. In the present case report 2 cases of calcific myonecrosis that occurred after a prolonged period of time following a traumatic event that impacted the lower leg were reported. CT images revealed disruption of calcified fascia and disease expansion into the outside of the fascia. Previous reports have implied that there is late focal enlargement of calcific myonecrosis following earlier enlargement, which may be caused by herniation through muscle fascia. However, no previous publications have focused on images for evidence of late local enlargement. To the best of our knowledge, this is the first report focusing on fascial herniation of calcific myonecrosis using images. Analysis of this feature using images may aid clinicians to differentiate calcific myonecrosis from malignancies.
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spelling pubmed-59209002018-05-04 Calcific myonecrosis mimicking soft tissue sarcoma: A case report Ukon, Yuichiro Tanaka, Takaaki Nagata, Shigenori Hagizawa, Hiroki Imura, Yoshinori Tamiya, Hironari Oshima, Kazuya Naka, Norifumi Aoki, Yasuaki Kuratsu, Shigeyuki Oncol Lett Articles Calcific myonecrosis is a rare soft tissue condition. The first case was reported in 1960, however, the precise pathophysiology of calcific myonecrosis remains unclear. The disease was thought to arise from compartment syndrome within a confined space resulting in necrosis and fibrosis, subsequent repeated intralesional hemorrhage, mass enlargement and calcification. Several previous reports have described calcific myonecrosis, which include the formation of calcific myonecrosis after a prolonged period of post trauma. Notably, calcific myonecrosis has typically been described in the lower legs and characteristic imaging findings have been indicated. Furthermore, surgical intervention carries a high risk of complications. In the present case report 2 cases of calcific myonecrosis that occurred after a prolonged period of time following a traumatic event that impacted the lower leg were reported. CT images revealed disruption of calcified fascia and disease expansion into the outside of the fascia. Previous reports have implied that there is late focal enlargement of calcific myonecrosis following earlier enlargement, which may be caused by herniation through muscle fascia. However, no previous publications have focused on images for evidence of late local enlargement. To the best of our knowledge, this is the first report focusing on fascial herniation of calcific myonecrosis using images. Analysis of this feature using images may aid clinicians to differentiate calcific myonecrosis from malignancies. D.A. Spandidos 2018-05 2018-03-22 /pmc/articles/PMC5920900/ /pubmed/29731908 http://dx.doi.org/10.3892/ol.2018.8320 Text en Copyright: © Ukon et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Ukon, Yuichiro
Tanaka, Takaaki
Nagata, Shigenori
Hagizawa, Hiroki
Imura, Yoshinori
Tamiya, Hironari
Oshima, Kazuya
Naka, Norifumi
Aoki, Yasuaki
Kuratsu, Shigeyuki
Calcific myonecrosis mimicking soft tissue sarcoma: A case report
title Calcific myonecrosis mimicking soft tissue sarcoma: A case report
title_full Calcific myonecrosis mimicking soft tissue sarcoma: A case report
title_fullStr Calcific myonecrosis mimicking soft tissue sarcoma: A case report
title_full_unstemmed Calcific myonecrosis mimicking soft tissue sarcoma: A case report
title_short Calcific myonecrosis mimicking soft tissue sarcoma: A case report
title_sort calcific myonecrosis mimicking soft tissue sarcoma: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5920900/
https://www.ncbi.nlm.nih.gov/pubmed/29731908
http://dx.doi.org/10.3892/ol.2018.8320
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