Tumor inguinal asociado a reemplazo total de cadera
Organized hip hematoma is an infrequent pathology, but it can be associated with multiple factors such as anticoagulation and trauma. It is important to make an early diagnosis to alleviate symptoms and rule out complex tumor lesions or those with a high degree of malignancy. In addition to the anam...
| Autores principales: | , , |
|---|---|
| Formato: | Artículo revista |
| Publicado: |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/38965 |
| Aporte de: |
| id |
I10-R327-article-38965 |
|---|---|
| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Tumor hip arthroplasty Tumor Artroplastia de cadera . |
| spellingShingle |
Tumor hip arthroplasty Tumor Artroplastia de cadera . Sanchez Carpio , D Aliaga, M Simondi , N Tumor inguinal asociado a reemplazo total de cadera |
| topic_facet |
Tumor hip arthroplasty Tumor Artroplastia de cadera . |
| author |
Sanchez Carpio , D Aliaga, M Simondi , N |
| author_facet |
Sanchez Carpio , D Aliaga, M Simondi , N |
| author_sort |
Sanchez Carpio , D |
| title |
Tumor inguinal asociado a reemplazo total de cadera |
| title_short |
Tumor inguinal asociado a reemplazo total de cadera |
| title_full |
Tumor inguinal asociado a reemplazo total de cadera |
| title_fullStr |
Tumor inguinal asociado a reemplazo total de cadera |
| title_full_unstemmed |
Tumor inguinal asociado a reemplazo total de cadera |
| title_sort |
tumor inguinal asociado a reemplazo total de cadera |
| description |
Organized hip hematoma is an infrequent pathology, but it can be associated with multiple factors such as anticoagulation and trauma. It is important to make an early diagnosis to alleviate symptoms and rule out complex tumor lesions or those with a high degree of malignancy. In addition to the anamnesis, the physical examination is important in conjunction with imaging studies, and not separately, in order to determine the definitive treatment of the pathology, and prevent complications.
Case presentation: 74-year-old male from the city of Córdoba, history of hypertension, dyslipidemia, left lower limb DVT treated with oral anticoagulant, total left hip replacement in 2012. Consultation for tumor mass in the left inguinal region in November 2020, with soft tissue ultrasound study which reports left inguinal hernia. Abdominopelvic CT and MRI requested. Since then, a multidisciplinary approach has been carried out. The CT report indicates a tumor in the iliac psoas region, MRI: presence of a pseudotumoral lesion in the inguinal region with an ovoid morphology and clear edges, with projection in front of the femoral prosthetic component, which extends towards the pelvic cavity through the femoral arch, in topography of the iliac psoas bursa, conditioning displacement of the inguinofemoral vascular bundle, with a size of 98 x 65 mm. in diameter, interpreting it as a possible reactive granulomatous lesion (metallosis). Tumor biopsy was performed, the pathology study was free of malignant findings. AngioCT was performed to assess vascular compromise. The tumor did not compromise the iliac vessels, but it did compress the vein and displaced them. Tumor resection is performed, reporting that the 12x7x5.5cm nodular formation corresponds to an organized hematoma, with fibrous tissue in the periphery, numerous histiocytes with multivacuolated cytoplasm, and hemosiderophages with foreign body-type multinucleated giant cells.
This rare tumor should be considered as a differential diagnosis in these patients with this history. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/38965 |
| work_keys_str_mv |
AT sanchezcarpiod tumoringuinalasociadoareemplazototaldecadera AT aliagam tumoringuinalasociadoareemplazototaldecadera AT simondin tumoringuinalasociadoareemplazototaldecadera |
| first_indexed |
2024-09-03T21:03:49Z |
| last_indexed |
2024-09-03T21:03:49Z |
| _version_ |
1809210334739693568 |
| spelling |
I10-R327-article-389652024-04-15T16:14:45Z Tumor inguinal asociado a reemplazo total de cadera Sanchez Carpio , D Aliaga, M Simondi , N Tumor hip arthroplasty Tumor Artroplastia de cadera . Organized hip hematoma is an infrequent pathology, but it can be associated with multiple factors such as anticoagulation and trauma. It is important to make an early diagnosis to alleviate symptoms and rule out complex tumor lesions or those with a high degree of malignancy. In addition to the anamnesis, the physical examination is important in conjunction with imaging studies, and not separately, in order to determine the definitive treatment of the pathology, and prevent complications. Case presentation: 74-year-old male from the city of Córdoba, history of hypertension, dyslipidemia, left lower limb DVT treated with oral anticoagulant, total left hip replacement in 2012. Consultation for tumor mass in the left inguinal region in November 2020, with soft tissue ultrasound study which reports left inguinal hernia. Abdominopelvic CT and MRI requested. Since then, a multidisciplinary approach has been carried out. The CT report indicates a tumor in the iliac psoas region, MRI: presence of a pseudotumoral lesion in the inguinal region with an ovoid morphology and clear edges, with projection in front of the femoral prosthetic component, which extends towards the pelvic cavity through the femoral arch, in topography of the iliac psoas bursa, conditioning displacement of the inguinofemoral vascular bundle, with a size of 98 x 65 mm. in diameter, interpreting it as a possible reactive granulomatous lesion (metallosis). Tumor biopsy was performed, the pathology study was free of malignant findings. AngioCT was performed to assess vascular compromise. The tumor did not compromise the iliac vessels, but it did compress the vein and displaced them. Tumor resection is performed, reporting that the 12x7x5.5cm nodular formation corresponds to an organized hematoma, with fibrous tissue in the periphery, numerous histiocytes with multivacuolated cytoplasm, and hemosiderophages with foreign body-type multinucleated giant cells. This rare tumor should be considered as a differential diagnosis in these patients with this history. El hematoma organizado de cadera es una patología infrecuente, pero que puede estar asociado a múltiples factores como lo son anticoagulación y traumatismos. Es importante realizar un diagnostico temprano para aliviar sintomatología y descartar lesiones tumorales complejas o de alto grado de malignidad. Además de la anamnesis, es importante el examen físico en conjunto con estudios de imagen, y no por separado, para poder determinar el tratamiento definitivo de la patología, y prevenir complicaciones. Presentacion de caso: Masculino de 74 años oriundo de ciudad de Córdoba, antecedentes de HTA, dislipemia, TVP miembro inferior izquierdo tratada con anticoagulante oral, Reemplazo total de cadera izquierda en 2012. Consulta por masa tumoral en región inguinal izquierda en noviembre 2020, con estudio ecográfico de partes blandas el cual informa hernia inguinal izquierda. Se solicita TAC y RNM Abdominopélvica. Se realizo desde entonces abordaje multidisciplinario. El informe de TAC indica Tumor en región Psoas Iliaco, RMN: presencia de lesión pseudotumoral en región inguinal de morfología ovoidea y bordes netos, con proyección por delante del componente protésico femoral, que se extiende hacia cavidad pelviana a través de la arcada femoral, en topografía de la bursa del psoas ilíaco, condicionando desplazamiento del paquete vascular inguinofemoral, con un tamaño de 98 x 65 mm. de diámetro interpretándose como posible lesión granulomatosa reactiva (metalosis). Se realizó biopsia tumoral, el estudio anatomopatologico estaba exenta de hallazgos de malignidad. Se realizo AngioTAC para evaluar compromiso vascular. El tumor no comprometía vasos iliacos, pero si comprimía vena y los desplazaba. Se realiza resección tumoral informando que la formación Nodular de 12x7x5,5cm corresponde a un Hematoma organizado, con tejido fibroso en la periferia, numerosos histiocitos de citoplasmas multivacuolados, hemosiderofagos con células gigantes multinucleadas tipo cuerpo extraño. Esta tumoración poco frecuente se debe considerar como diagnostico diferencial en estos pacientes con estos antecedentes. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto . https://revistas.unc.edu.ar/index.php/med/article/view/38965 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |