Hip Pain Revealing Metastatic Prostate Cancer

Background: Prostate cancer is the most common malignant tumor and the second most common cause of cancer associated mortality in males. Bone metastasis is frequent, usually multiple and osteoplastic. Presentation of a pure osteolytic and solitary metastasis from a prostate carcinoma is extremely rare. Methodology: We report a case of prostate cancer in a 54-year-old man who presented with progressive severe right hip pain and stiffness with no urinary symptom. An MRI of the pelvis revealed a metastasis to the right hip. A prostate biopsy revealed prostate adenocarcinoma. Results: In the literature, there are few cases of a solitary osteolytic bone metastasis from carcinoma of the prostate, and especially in the pelvis. only one such case seems to be reporting.