CASE 26: Fracture-dislocation following metastasis of testicular cancer to the left hip

• 27-year-old male patient
• He has a history of surgery and medical treatment for testicular cancer (mixed germ cell).
• The patient, who had been experiencing left hip pain for 5 months, saw his symptoms worsen over time and became difficult to walk even with crutches.
• The patient, who had testicular cancer metastases in the biopsy, did not have any additional metastases detected in subsequent screenings.
• The cavity created after removal of the tumorous bone (internal hemipelvectomy) was reconstructed with a specialized tumor prosthesis.
• The patient, whose stitches were removed in the second week, was referred for radiotherapy.

Pre-operative: X-ray shows severe damage and a fractured dislocation in the left hip, and MRI reveals a large tumor tissue compressing the pelvic organs.

During the operation: Clinical and radiological images of the removed cancerous joint tissue.

Post-operative: The X-ray shows the prosthesis that was implanted after the tumor was removed.