Bertoli Ana M, Saurit Verónica, Alvarellos Alejandro, Caeiro Francisco
Department and Institution of Rheumatology Unit, Hospital Privado, Centro Médico de Córdoba, Córdoba, Argentina.
J Clin Rheumatol. 2003 Dec;9(6):370-2. doi: 10.1097/01.rhu.0000099745.38590.db.
Greater trochanteric pain syndrome includes a complex differential diagnosis. We report the case of a 71-year-old woman who consulted us because of pain in the lateral aspect of the hip. A diagnosis of greater trochanter bursitis was suggested, and she was treated with local injections of a mixture of corticosteroids plus anesthetic, but the condition did not improve. A pelvic MRI showed a high intensity signal in the gluteus medius and minimus and a subsequent biopsy revealed a metastasis of an adenocarcinoma of unknown origin. Although pain on the lateral aspect of the hip is often attributed to trochanteric bursitis, other diagnoses, including this rare finding of malignant disease, should be considered in the differential diagnosis of the greater trochanteric pain syndrome.
大转子疼痛综合征包含复杂的鉴别诊断。我们报告一例71岁女性患者，因髋部外侧疼痛前来就诊。初步诊断为大转子滑囊炎，对其进行了皮质类固醇与麻醉剂混合液的局部注射治疗，但病情并未改善。骨盆磁共振成像显示臀中肌和臀小肌有高强度信号，随后的活检显示为不明原发灶的腺癌转移。尽管髋部外侧疼痛常归因于转子滑囊炎，但在大转子疼痛综合征的鉴别诊断中，应考虑其他诊断，包括这种罕见的恶性疾病。
