RESUMO
Radiation-induced damage to the bone is characterised by four main pathological findings: osteoporosis, bone-marrow fibrosis, trabecular microfractures and disseminated areas of focal necrosis. The complications of radiotherapy affecting hip and pelvis are well known, but septic arthritis of the hip joint following pelvic irradiation is a rare occurrence. Radiation-induced damage associated with a compromised host defence may be considered responsible for this complication. We report septic arthritis of hip joint in a 64-year-old woman who was treated with pelvic radiotherapy for carcinoma of the cervix eight years ago. She was successfully treated by two-stage reconstruction, consisting of debridement and antibiotic-loaded cement spacer insertion in the first stage and total hip replacement in the second stage.
Assuntos
Artrite Infecciosa/diagnóstico , Carcinoma/radioterapia , Articulação do Quadril/microbiologia , Infecções Oportunistas/diagnóstico , Infecções Estreptocócicas/diagnóstico , Neoplasias do Colo do Útero/radioterapia , Feminino , Humanos , Hospedeiro Imunocomprometido , Pessoa de Meia-IdadeRESUMO
Transient osteoporosis of the hip is a clinical entity that is being diagnosed and reported with increasing frequency. Its aetiology remains a matter of speculation, and the same remains true for its treatment. Many researchers have proposed different surgical and non-surgical treatment strategies; but the conservative approach, which takes the form of analgesics, intermittent traction, range of motion exercises, abductor strengthening exercises and restricted weight bearing, is preferred. The authors report on two patients, both women, aged 35 years and 42 years, respectively, with transient osteoporosis of the hip that were successfully treated using a conservative approach.
Assuntos
Articulação do Quadril/patologia , Osteoporose/terapia , Adulto , Medula Óssea/patologia , Diagnóstico Diferencial , Progressão da Doença , Edema/patologia , Exercício Físico , Feminino , Humanos , Imageamento por Ressonância Magnética , Gravidez , Complicações na Gravidez , Resultado do Tratamento , Suporte de CargaRESUMO
Extraosseous chondrosarcomas are rare tumours. Primary chondrosarcoma of the lung is very rare, and is considered to be a slow-growing, well-circumscribed tumour, with rare incidence of extra-thoracic metastasis. We report a 60-year-old man who had chondrosarcoma of the lung with two local recurrences, namely: recurrent cutaneous metastases and a skeletal metastasis. Cutaneous metastases were treated by excision with adequate margins each time and they did not recur at the same site. Metastasis in the C5 vertebrae was treated by corpectomy and bone grafting. The patient is well six years after diagnosis.
