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Primary extra-cranial meningioma following total hip replacement
T J Campbell1, J T Patton, D Porter
1Department of Radiology, Royal Infirmary, Edinburgh, EH16 4SA, UK.
Skeletal Radiology
|October 31, 2008
Summary
A rare case of extracranial meningioma occurred in a patient 10 years after total hip replacement. This tumor presented as a destructive mass near the hip prosthesis, requiring further investigation.
Area of Science:
- Orthopedic Surgery
- Oncology
- Pathology
Background:
- Primary tumors following total hip replacement (THR) are uncommon, typically involving sarcomas or lymphomas.
- Extracranial meningiomas are rare neoplasms typically found in the head and neck regions.
Observation:
- A 61-year-old male experienced hip pain and reduced mobility 10 years post-THR.
- Imaging revealed a large, destructive, expansile mass adjacent to the hip prosthesis.
Findings:
- Histological analysis confirmed the mass as an extracranial meningioma.
- This represents the first reported instance of a primary extracranial meningioma arising after total hip replacement.
Implications:
- Highlights the importance of considering rare differential diagnoses in patients with prosthetic joint complications.
- Suggests a potential, albeit rare, association between orthopedic implants and the development of extracranial meningiomas.
- Emphasizes the need for thorough diagnostic evaluation, including histology, for unusual masses near prosthetic implants.