Huge recurrent tumoral calcinosis needing extensive excision and reconstruction: report of a rare case and brief literature review.

UNLABELLED: Tumoral calcinosis, a rare benign clinical condition resembling a neoplasm, is characterized by calcium deposits, usually located in the soft tissues around the large joints. It can be primary or secondary to renal failure and hyperparathyroidism. This report describes an unusual case of recurrent tumoral calcinosis presenting as a huge mass infiltrating the skin and muscles of the lumbosacral area. The patient underwent wide excision and reconstruction with bilateral V-Y advancement gluteal fasciocutaneous flaps and at this writing remains disease free 4 years postoperatively. A concise review of the pertinent literature focusing on the diagnosis, treatment options, and preventive measures also is reported. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article.