Solitary Plasmacytoma of the Thoracic Spine

Younus, Aftab; Kelly, Andrea

doi:10.15744/2348-9820.6.501

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2023

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“…Within five years, at least 50% of solitary plasmacytomas will develop into MM if treatment is not received [ 16 ]. When used as the first line of treatment for solitary plasmacytoma, local irradiation offers good local control (85-90%), which may result in a long-lasting remission or even a cure [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Resection of Thoracic Plasmacytoma and Corpectomy Through the Anterolateral Thoracic Approach: A Case Report

Del Pino-Camposeco,

Villanueva-Castro,

Deustúa-Hernández

et al. 2023

Cureus

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This case report details the case of a 57-year-old male who initially manifested low back pain radiating from the lumbar region to the left leg. Progressive symptoms included paresthesia on the plantar surfaces of both feet and gait instability attributed to weakness in the pelvic limbs. Computed tomography imaging revealed osteolytic lesions in the T9, T10, and T11 vertebral bodies, resulting in compression of the spinal cord. Subsequent contrast-enhanced magnetic resonance imaging validated these findings, confirming the presence of an extradural tumor. In accordance with the Spinal Instability Neoplastic Score (SINS), the case was categorized as indicative of potential spinal instability. Consequently, a surgical intervention was performed to excise the lesion. Thus, the role of SINS played a pivotal role in guiding the decision-making process for the chosen treatment modality.

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Section: Discussionmentioning

confidence: 99%