Solitary plasmacytoma of thoracic vertebra in a woman with Lynch syndrome: A case report

Background: Solitary plasmacytoma of bone has a predilection for the axial skeleton, most commonly affecting the thoracic spine. We report the case of a patient who presented with acute on chronic back pain and developed severe neurologic deficits within several hours of admission secondary to a pathologic fracture of L1. Methods: The patient underwent an urgent magnetic resonance imaging scan followed by T12 to L2 posterior decompression and T11 to L3 posterior instrumented stabilization. Subsequent histopathologic examination of specimens taken at the time of surgery found this to be secondary to a plasmacytoma affecting the lumbar spine. Results: At follow-up, recovery has been rapid and extensive, with the patient remaining under hematologic review because of the risk for developing multiple myeloma. Conclusions: The unique features of this case relate to the location of the plasmacytoma and the neurologic signs; to our knowledge this is the first reported case in the literature of paraplegia secondary to a lumbar spine plasmacytoma.

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Solitary plasmacytoma of thoracic vertebra in a woman with Lynch syndrome: A case report

Abstract: HighlightsSimilar oncogenesis in solitary plasmacytoma and Lynch syndrome assumed.The unknown metachronous malignancy in a Lynch syndrome patient.Don’t sit and wait with elderly and enduring back pain.

Cited by 4 publications

References 22 publications

The transversus abdominis plane block reduces the cumulative need of analgesic medication following inguinal hernia repair in TAPP technique: a retrospective single center analysis among 838 patients

The transversus abdominis plane block reduces the cumulative need of analgesic medication following inguinal hernia repair in TAPP technique: a retrospective single center analysis among 838 patients

Construction and Validation of a Novel Web-Based Nomogram for Solitary Plasmacytoma of Bone of the Spine: A Real-World Analysis Based on the Surveillance, Epidemiology, and End Results Database

Paraplegia Secondary to Plasmacytoma of the Lumbar Spine

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