Hip Pain associated with High Risk of Metastasis in Elderly Population

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Number of pages : 43-46

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Abstract

The study aimed to determine the sociodemographic distribution, metastatic foci, and localizations of metastatic cases evaluated at a regional bone and soft tissue tumor center and emphasize the importance of the hip region in the aspect of metastatic bone disease. A total of 356 cases of the metastatic bone disease were detected in the local database which contains 2586 patients who applied to the center due to bone and soft tissue tumor at Ondokuz Mayıs University Faculty of Medicine between 2004-2018 (13.76% of all bone and soft tissue tumors cases). These patients were included in the study by determining the age, gender, localization, and primer foci. While the youngest age was seen at 6 years of age, the oldest age of metastatic bone disease was 89 (mean 59.36). There were 205 male patients and 151 female patients. 67 of the 356 metastatic cases were present with pathologic fracture (18.82%). Metastases were observed in the range of 60-69 years (26.68%), followed by 50-59 and 70-79 age ranges respectively (25.84% and 19.54%). The most common site of metastasis was the hip (149 cases, 41.85%). There were localizations following thigh (44 cases) and shoulder (29 cases) (12.35% and 8.14% respectively). The mean age of patients with the metastatic disease around hip was 63.3 and the most common primary foci were lung, followed by breast and kidney. Primary foci were not detected in 60 patients. When metastatic patients evaluated at our center were examined, the metastatic bone disease was more frequently observed in male patients aged 60-69 years who presented with pain in the hip region. Metastatic bone disease is a condition that should be considered in this patient group.

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