[Pelvic lymphadenitis after total hip arthroplasty : Mimicking of lymph node metastases in a patient with prostate cancer]
- PMID: 20182691
- DOI: 10.1007/s00120-009-2212-0
[Pelvic lymphadenitis after total hip arthroplasty : Mimicking of lymph node metastases in a patient with prostate cancer]
Abstract
This report describes the case of a 65-year-old patient who underwent radical prostatectomy in our department. Intraoperatively we detected suspicious lymph nodes on the left side. The histopathological examination revealed histiocytosis and foreign body giant cells but no sign of tumor. The enlarged lymph nodes were ascribed to an ipsilateral total hip arthroplasty performed 14 years previously because of progressive coxarthrosis. Lymphadenitis after total hip arthroplasty is frequently observed. Histopathologically and with the use of polarized light microscopy, histiocytosis and wear particles such as titanium, polyethylene, and polyethylene-methylacrylate may be detected. When operating on patients with arthroplasty of a lower limb, particularly those with a total endoprosthesis, the surgeon should bear in mind that changes in lymph node consistency and size do not necessarily indicate tumor involvement or metastases.
Similar articles
-
Pelvic lymph node histiocytosis mimicking metastatic prostatic adenocarcinoma: association with hip prostheses.J Urol. 1995 Aug;154(2 Pt 1):470-3. doi: 10.1097/00005392-199508000-00035. J Urol. 1995. PMID: 7609108
-
Granular histiocytosis of pelvic lymph nodes following total hip arthroplasty. The presence of wear debris, cytokine production, and immunologically activated macrophages.J Bone Joint Surg Am. 1996 Apr;78(4):482-96. doi: 10.2106/00004623-199604000-00002. J Bone Joint Surg Am. 1996. PMID: 8609127
-
Foreign body histiocytosis reaction after hip replacement with concomitant metastatic adenocarcinoma in the same lymph node.Hum Pathol. 1998 Jan;29(1):95-8. doi: 10.1016/s0046-8177(98)90397-5. Hum Pathol. 1998. PMID: 9445141
-
[Sentinel lymph node dissection for localized prostate cancer].Actas Urol Esp. 2007 Jun;31(6):686-92. doi: 10.1016/s0210-4806(07)73706-3. Actas Urol Esp. 2007. PMID: 17896566 Review. Spanish.
-
Infection after total hip arthroplasty.Ann R Coll Surg Engl. 2004 Jul;86(4):267-71. doi: 10.1308/147870804579. Ann R Coll Surg Engl. 2004. PMID: 15239869 Free PMC article. Review.
References
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical