title: Aggressive tumoral calcinosis in an infant thoracotomy scar.
abstract: The authors report a case of tumoral calcinosis (TC) in a six-month-old infant, which developed within the thoracotomy scar from previous aortic coarctation repair. After initial resection of the lesion, the child returned with a large mass of TC restricting movement of the left shoulder. Repeated total resection was successful with no recurrence in 12 months' follow-up. This is the first report of TC that developed in a postoperative scar and is unusual in its recurrence and aggressive growth. Pathogenesis, diagnosis and treatment of this rare event is discussed.
authors.affiliation: Department of Thoracic Surgery, Norfolk and Norwich University Hospital, Colney Lane, Colney, Norwich NR4 7UY, UK. jakub.kadlec@nnuh.nhs.uk
authors.forename: Jakub
authors.initials: J
authors.lastname: Kadlec
authors.forename: Bohumil
authors.initials: B
authors.lastname: Hucin
authors.forename: Tomas
authors.initials: T
authors.lastname: Tlaskal
authors.forename: Stephen
authors.initials: S
authors.lastname: Westaby
mesh_terms: D001017:Aortic Coarctation / Q000601:surgery*; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002921:Cicatrix / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D012008:Recurrence; D012086:Reoperation; D012783:Shoulder Dislocation / Q000209:etiology; D013908:Thoracotomy / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome