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Journal of Bone and Joint Surgery, 1967;49:721-731.
© 1967 by The Journal of Bone and Joint Surgery, Inc

Tumoral Calcinosis

A REPORT OF SIX CASES

JAMES W. HARKESS M.B., CH.B.1 and HANS J. PETERS M.D.1

1 From the Department of Surgery (Division of Orthopedic Surgery) and the Department of Pathology, Medical College of Georgia, Augusta, Georgia

Twenty-seven cases of tumoral calcinosis collected from the literature and six more previously unreported have been studied. On this basis, diagnostic criteria and possible etiologic factors are presented and discussed.

On the basis of this study we suggest the following criteria for the diagnosis of tumoral calcinosis.

1. The presence of large, painless, calcified masses in juxta-articular sites, particularly around the elbows and hips.

2. The absence of abnormal values of serum calcium or phosphorus.

3. No associated renal disease, metabolic disorder, or collagen disease.

4. The disease manifesting itself before the age of twenty.

5. Evidence of familial or racial predisposition.

6. Recurrence of the lesion particularly after incomplete excision.


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