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Malignant fibrous histiocytoma arising in the area of total hip replacement

Cited 6 time in Web of Science Cited 9 time in Scopus
Authors

Min, Woo-Kie; Kim, Shin-Yoon; Oh, Chang-Wug; Kim, Sung-Jung; Park, Tae-In; Koo, Kyung-Hoi

Issue Date
2007-11-06
Publisher
Elsevier
Citation
Joint Bone Spine. 2008 ;75(3):319-21.
Keywords
Accidental FallsArthroplasty, Replacement, Hip/*adverse effectsFemaleFemur Head Necrosis/etiology/*surgeryHip Fractures/etiologyHistiocytoma, Malignant Fibrous/*etiologyHumansMiddle AgedOsteolysis/etiologyOsteoradionecrosis/etiologyPelvic Bones/pathology/surgeryRadiotherapy/adverse effectsUterine Cervical Neoplasms/radiotherapy
Abstract
A patient developed a rapidly progressive and extensive periprosthetic osteolysis after a cemented total hip arthroplasty for postradiation necrosis of pelvic bone and femoral head. Malignant tumor is one of the causes of periprosthetic bone loss. The biopsy confirmed the malignant fibrous histiocytoma (MFH). However, majority of periprosthetic bone loss is due to wear debris induced osteolysis. Usually, wear debris induced periprosthetic osteolysis is developed later and the progression is much slower than there of malignant tumor. Also wear debris induced osteolysis is confirmed by chronic inflammation with macrophages containing wear particles. When there is a rapidly progressive and extensive osteolysis a prosthesis following hip replacement arthroplasty, the physician should suspect the possibility of malignant tumor.
ISSN
1778-7254 (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17977772

https://hdl.handle.net/10371/63624
DOI
https://doi.org/10.1016/j.jbspin.2007.05.007
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