Skeletal Radiology

, Volume 38, Issue 1, pp 71–75 | Cite as

Primary extra-cranial meningioma following total hip replacement

  • T. J. Campbell
  • J. T. Patton
  • D. Porter
  • D. M. Salter
  • A. Al-Nafussi
  • I. BeggsEmail author
Case Report


A 61-year-old man presented with pain at the left hip and decreased mobility 10 years after total hip replacement. Imaging demonstrated a large destructive expansile mass adjacent to the prosthesis. Histological analysis confirmed the presence of an extra-cranial meningioma. Primary tumours after total hip replacement are rare and include soft tissue sarcomas, bone sarcomas and lymphomas. To our knowledge, no previous cases of primary extracranial meningioma have been identified. The imaging features, histology, pathogenesis and differential diagnosis are discussed.


Primary extracranial meningioma hip arthroplasty 


  1. 1.
    Buetow MP, Buetow PC, Smirniotopoulos JG. Typical, atypical, and misleading features in meningioma. Radiographics 1991; 11: 1087–1106.CrossRefGoogle Scholar
  2. 2.
    Mirimanoff RO, Dosotretz DE, Linggood RM, Ojemann RG, Martuza RL. Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 1985; 62: 18–24.CrossRefGoogle Scholar
  3. 3.
    Yekeler E, Dursun M, Yilmazbayhan D, Tunaci A. Multiple pulmonary metastases from intracranial meningioma: MR imaging findings. Diagn Interv Radiol 2005; 11: 28–30.PubMedGoogle Scholar
  4. 4.
    Enzinger FM, Weiss SW. Soft tissue tumors. 3rd ed. St Louis, MO: Mosby; 1995. p. 876–877.Google Scholar
  5. 5.
    Daugaard S. Ectopic meningioma of a finger. Case report. J Neurosurg 1983; 58: 778–780.CrossRefGoogle Scholar
  6. 6.
    Anderson SE, Johnston JO, Zalaudek CJ, Stauffer E, Steinbach LS. Peripheral nerve ectopic meningioma of the elbow joint. Skeletal Radiol 2001; 30: 639–642.CrossRefGoogle Scholar
  7. 7.
    Murata H, Takahashi M, Takagi T, Katagiri H, Ito I, Ishida T. A case of primary extracranial meningioma of the forearm with bone invasion. Skelet Radiol 2007; 36: 551–553.CrossRefGoogle Scholar
  8. 8.
    Singh RVP, Yeh JS, Broome JC, Campbell DA. Primary ectopic intramuscular meningioma of the thigh. Clin Neurol Neurosurg 1993; 95: 245–247.CrossRefGoogle Scholar
  9. 9.
    Tomaru U, Hasegawa T, Hasegawa F, Kito M, Hirose T, Shimoda T. Primary extracranial meningioma of the foot: A case report. Jpn J Clin Oncol 2000; 30: 313–317.CrossRefGoogle Scholar
  10. 10.
    Lopez DA, Silvers DN, Helwig EB. Cutanteous meningiomas: a clinicopathological study. Cancer 1974; 34: 728–744.CrossRefGoogle Scholar
  11. 11.
    Visuri T, Pulkkinen P, Paavolainen P. Malignant tumors at the site of total hip prosthesis. Analytic review of 46 cases. J Arthroplasty 2006; 21: 311–323.CrossRefGoogle Scholar
  12. 12.
    O’Shea K, Kearns SR, Blaney A, Murray P, Smyth HA, McElwain JP. Periprosthetic malignancy as a mode of failure in total hip arthroplasty. J Arthroplasty 2006; 21: 926–930.CrossRefGoogle Scholar
  13. 13.
    Tallroth KAJ, Eskola A, Santavirta S, Konttinen YT, Lindholm TS. Aggressive granulomatous lesions after hip arthroplasty. J Bone Jt Surg Br 1989; 71: 571–575.CrossRefGoogle Scholar
  14. 14.
    Puri L, Wixson RL, Stern SH, Kohli J, Hendrix RW, Stulberg SD. Use of helical computed tomography for the assessment of acetabular osteolysis after total hip arthroplasty. J Bone Jt Surg Am 2002; 84: 609–614.CrossRefGoogle Scholar
  15. 15.
    Cahir JG, Toms AP, Marshall TJ, Wimhurst J, Nolan J. CT and MRI of hip arthroplasty. Clin Radiol 2007; 62: 1163–1171.CrossRefGoogle Scholar
  16. 16.
    White LM, Kim JK, Mehta M, Merchant N, Schweitzer ME, Morrison WB, et al. Complications of total hip arthroplasty: MR imaging—initial experience. Radiology 2000; 215: 254–262.CrossRefGoogle Scholar
  17. 17.
    Toms AP, Marshall TJ, Cahir J, Darrah C, Nolan J, Donnel ST, et al. MRI of early symptomatic metal-on-metal total hip arthroplasty: a retrospective review of radiological findings in 20 hips. Clin Radiol 2008; 63: 49–58. Jan.CrossRefGoogle Scholar
  18. 18.
    Willert H-G, Buchhorn GH, Fayyazi A, Flury R, Windler M, Köster G, Lohmann CH. Metal-on-metal bearings and hypersensitivity in patients with artificial hip joints. A clinical and histomorphological study. J Bone Jt Surg Am 2005; 87: 28–36.CrossRefGoogle Scholar
  19. 19.
    Clayton RAE, Beggs I, Salter D, Grant MH, Patton JT, Porter DE. Inflammatory pseudotumour causing femoral nerve palsy two years following metal on metal resurfacing of the hip. A case report. J Bone Jt Surg Am 2008 (in press).Google Scholar

Copyright information

© ISS 2008

Authors and Affiliations

  • T. J. Campbell
    • 1
  • J. T. Patton
    • 2
  • D. Porter
    • 2
  • D. M. Salter
    • 3
  • A. Al-Nafussi
    • 3
  • I. Beggs
    • 1
    Email author
  1. 1.Department of RadiologyRoyal InfirmaryEdinburghUK
  2. 2.Department of OrthopaedicsRoyal InfirmaryEdinburghUK
  3. 3.Department of PathologyRoyal InfirmaryEdinburghUK

Personalised recommendations