Periprosthetic metastasis: a rare cause for prosthetic loosening

Malignant periprosthetic metastasis is a very rare yet important cause of painful joint arthroplasty. This study presents a case in which periprosthetic osteolysis following total hip replacement (THR) occurred as a result of metastatic mesothelioma. After a THR and revision THR, histopathology conf...

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Veröffentlicht in:	BMJ case reports 2013-04, Vol.2013, p.bcr2013008707
Hauptverfasser:	Nagy, Mathias Thomas, Young, Andrew Fred, Gorgees, Neshteman, Barrington, Richard Lawrence
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Arthroplasty, Replacement, Hip Cement Chemotherapy Diagnosis, Differential Europe (West) Femoral Neoplasms - diagnostic imaging Femoral Neoplasms - secondary Humans Lung Neoplasms - diagnostic imaging Lung Neoplasms - pathology Male Mesothelioma Mesothelioma - diagnostic imaging Mesothelioma - secondary Metastasis Osteoarthritis, Hip - diagnostic imaging Osteoarthritis, Hip - surgery Osteolysis - diagnostic imaging Osteolysis - pathology Pain Patients Prostheses Prosthesis Failure Radiography, Thoracic Rare Disease Reoperation Tomography, X-Ray Computed Transplants & implants White
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Zusammenfassung:	Malignant periprosthetic metastasis is a very rare yet important cause of painful joint arthroplasty. This study presents a case in which periprosthetic osteolysis following total hip replacement (THR) occurred as a result of metastatic mesothelioma. After a THR and revision THR, histopathology confirmed the diagnosis of metastatic mesothelioma. Primary lesion was identified using CT scan of the chest. Patient is receiving palliative chemotherapy.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2013-008707