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Abstract #5404

Unmasking Paediatric Tumoral Calcinosis (TC) – A rare histopathological syndrome: Case report

Karabo Mokoena1, Petronella Samuels2, Jacques Badenhorst1, Leonard Duvenhage1, Zarina Lockhat1, Zanele Ngobese3, Zayyan Carim1, Meshack Bida4, and Ompone Seasebo4
1Steve Biko Academic Hospital, Pretoria, South Africa, 2Cape Universities Body Imaging Centre, University of Cape Town, Cape Town, South Africa, Cape Town, South Africa, 3Nelson Mandela Children's Hospital, Johannesburg, South Africa, 4Tshwane Academic Division, National Health Laboratory Service, University of Pretoria, Pretoria, South Africa

Synopsis

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Motivation: Tumoral Calcinosis (TC) is a rare condition that has a broad range of differential diagnoses. This often leads to delayed diagnosis and consequently delayed or inappropriate treatment, which often includes invasive procedures. MRI findings can be used to support the diagnosis, which is helpful in a resource-limited setting where histopathology services are scarce or unavailable.

Goal(s): We aimed to highlight the value of MRI in diagnosing TC in resource-limited settings where histopathology services are unavailable or limited.

Approach: We correlated MRI and histopathology to aid in the diagnosis of this rare condition.

Results: MRI features included multilobulated appearance, fluid-calcium sedimentation, and rim enhancement.

Impact: MRI plays a pivotal role in diagnosing TC in resource-limited settings with histopathology service constraints. It offers critical imaging insights, aiding in early identification and differential diagnosis, thereby supporting timely management when immediate histopathological analysis is unavailable.

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