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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 69(5); 2026 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 2026;69(5): 240-243.
doi: https://doi.org/10.3342/kjorl-hns.2026.00010
A Case of Tumoral Calcinosis at Cervical Muscles
Jae Man Lee , Seong Chan Park, Soo Bin Bae, Chang Ki Yeo
Department of Otorhinolaryngology, School of Medicine, Keimyung University, Daegu, Korea
경부 근육에 발생한 종양성 석회증 1예
이재만 , 박성찬, 배수빈, 여창기
계명대학교 의과대학 이비인후과학교실
Correspondence  Chang Ki Yeo ,Tel: +82-53-258-4539, Fax: +82-53-258-4540, Email: ckyeo@dsmc.or.kr
Received: 24 September 2025; Revised: February 15, 2026   Accepted: 26 February 2026.  Published online: 15 May 2026.
ABSTRACT
Tumoral calcinosis is an uncommon ectopic calcification disorder that typically affects the periarticular soft tissue but rarely involves the cervical muscles. We report a 40-year-old male with an end-stage renal disease secondary to IgA nephropathy, who presented with a slowly enlarging right neck mass with tenderness and partial limitation of neck movement. Ultrasonography and contrast-enhanced CT demonstrated a multilobulated, densely calcified mass like lesion arising from the cervical muscles, displacing major neck vessels anteriorly. Serum studies revealed hyperphosphatemia with secondary hyperparathyroidism, which was diagnosed as secondary tumoral calcinosis. The mass was completely excised without complication. Histopathology showed amorphous calcified deposits surrounded by foreign-body giant cells. During 22 months of clinical and imaging follow-up, no recurrence has been observed. This case underscores the need to include tumoral calcinosis in the differential diagnosis of calcified cervical masses in dialysis patients in order that phosphate control and definitive surgery may achieve favorable outcomes.
Keywords: Cervical muscle Hemodialysis Hyperphosphatemia Neck mass Tumoral calcinosis
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