Osteolytic mystery: A rare case of pathologic fracture from a phosphaturic mesenchymal tumor in hip and femur.
Radiol Case Rep
; 19(10): 4413-4416, 2024 Oct.
Article
in En
| MEDLINE
| ID: mdl-39185431
ABSTRACT
Phosphaturic mesenchymal tumor (PMT) is a rare tumor causing bone complications and myopathy. Histologically, PMT displays a mix of spindled cells, osteoclast-like giant cells, basophilic matrix, and flocculent or "grungy" calcification. Here we describe a case of PMT in the right hip and proximal femur, initially suspected to be multiple myeloma, presenting with osteolytic lesions and elevated alkaline phosphatase. Tests for malignancy were negative, but a subsequent biopsy confirmed PMT. The patient underwent hip biopsy, femur resection, and hemiarthroplasty, with follow-up MRI recommended.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Radiol Case Rep
Year:
2024
Document type:
Article
Country of publication:
Países Bajos