Osteolysis of the pubic bone simulating malignancy. A case report and review of literature
An, H.S.; Jackson, W.T.; Hawthorne, K.B.
Orthopedics 11(6): 951-954
1988
ISSN/ISBN: 0147-7447 PMID: 3290874 Document Number: 306128
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.