Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Case Report

Volume 3, Number 4, August 2011, pages 203-206

Early Periprosthetic Metastasis Following Total Hip Replacement in a Patient With Breast Carcinoma: A Case Report and Review of Literature

Figures

Figure 1..
Figure 1.. X-ray pelvis following total hip replacement.
Figure 2..
Figure 2.. Eight month follow-up X-ray showing isolated periacetabular bone loss in left hip.
Figure 3..
Figure 3.. Radinucleotide bone scan confirms increased uptake in left hemipelvis.
Figure 4..
Figure 4.. CT scan showing periacetabular bone loss.
Figure 5..
Figure 5.. Judet view revealing rapid progression of osteolysis and migration of left acetabular component.

Table

Table 1. Review of Reported Cases of Metastatic Infiltration Around Hip Replacement From English Language Literature
 
Case reportPrimarySite of involvementDuration since hip replacementTreatmentSurvival after detection
Dramis et al.
2008		Renal Cell CarcinomaProximal Femur6 monthsPalliative6 months
O'Shea et al.
2006		Lung AdenocarcinomaProximal Femur60 monthsRevision usncemented THR6 weeks
Malignant Immunoblastic LymphomaProximal Femur156 monthsExcision arthroplasty20 weeks
Gastric CarcinomaAcetabulum4 monthsGirdlestone resection arthroplasty10 weeks
Allain et al.
1998		Lung Squamous cell carcinomaSynovium around hip60 monthsRevision THR3 months
Schmidt et al.
1996		Ovarian CarcinomaProximal femur21 monthsPalliative10 months
Hepatocellular CarcinomaProximal femur52 monthsRevision THRNot available
Donohoe et al.
1987		Non-Hodgkin's LymphomaProximal femurNot AvailableNot availableNot available
Kim et al.
1986		Lung AdenocarcinomaProximal femur8 monthsHip disarticulation11 months