Osteolysis of the pubic bone simulating malignancy. A case report and review of literature.
A 78-year-old white female presented with groin pain of 3 months' duration. Radiographs revealed an osteolytic lesion in the pubic bone, simulating a malignancy or infection. A closed needle biopsy was performed and pathological findings were consistent with post-traumatic osteolysis, showing avascular necrotic tissues. A review of the literature found 16 previous cases presenting with groin pain and a radiographic lesion in the pubic bone that appeared malignant. All of the patients reported in the literature were postmenopausal women most with a recent history of trauma or increased physical activity. All of the lesions were benign and, when treated conservatively, usually resolved within 6 months.
An
H S
HS
Department of Orthopedic Surgery, Medical College of Ohio, Toledo 43614.
Jackson
W T
WT
Hawthorne
K B
KB
D000368:Aged; D001706:Biopsy; D001859:Bone Neoplasms / Q000000981:diagnostic imaging*; D001842:Bone and Bones / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010014:Osteolysis / Q000000981:diagnostic imaging* / Q000473:pathology; D011630:Pubic Bone / Q000000981:diagnostic imaging; D011859:Radiography