Hip pain may be caused by tumours, which may be either benign or malignant.
Benign tumours such as osteochondromas may cause pain secondary to compression of- or erosion into adjacent soft tissue structures and/or mechanical impingement problems. Other benign tumours, such as osteoid osteomas may cause pain secondary to acute inflammation. Despite the tumour being benign (i.e. no cellular atypia on histology and no potential to spread to distant locations of the body or metastasise), surgical management may be required.
Malignant tumours, such as Ewings sarcomas and osteosarcomas are tumours of childhood and a high index of clinical suspicion is warranted, based on the fact that these tumours may be managed with limb salvage surgery if picked up early. Once the tumour has metastasised and/or reached a critical local size with involvement of the adjacent soft tissue structures, this is may no longer be an option and curative treatment may no longer be effected, even with a combination of chemotherapy and surgery.
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