Surgery combined with radiotherapy for the treatment of solitary plasmacytoma of the rib: a case report and review of the literature

Rui, Jia; Xue, Lei; Liang, Huiling; Gao, Kun; Li, Jian; Zhang, Zhefeng

doi:10.1186/s13019-015-0335-5

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…However, a few samples with solitary sternum plasmacytoma have previously received wide resection and chest wall reconstruction in clinical practice. Multiple articles present these surgical samples as case reports (21,22). Sabanathan et al (23) presented 17 SPs in the chest wall treated by radical excision, and seven of these progressed to multiple myeloma within 2 years of surgery.…”

Section: Consensus 1: Wide Excision Should Be Performed For Desmoid Tumor (Dt) Of Chest Wall (Category 1) After Excluding the Distant Metmentioning

confidence: 99%

Expert consensus on resection of chest wall tumors and chest wall reconstruction

Wang¹,

Yan²,

Zhao³

et al. 2021

Transl Lung Cancer Res

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Chest wall tumors are a relatively uncommon disease in clinical practice. Most of the published studies about chest wall tumors are usually single-center retrospective studies, involving few patients.Therefore, evidences regarding clinical conclusions about chest wall tumors are lacking, and some controversial issues have still to be agreed upon. In January 2019, 73 experts in thoracic surgery, plastic surgery, science, and engineering jointly released the Chinese Expert Consensus on Chest Wall Tumor Resection and Chest Wall Reconstruction (2018 edition). After that, numerous experts put forward new perspectives on some academic issues in this version of the consensus, pointing out the necessity to further discuss the points of contention. Thus, we conducted a survey through the administration of a questionnaire among 85 experts in the world. Consensus has been reached on some major points as follows. (I) Wide excision should be performed for desmoid tumor (DT) of chest wall. After excluding the distant metastasis by multi-disciplinary team, solitary sternal plasmacytoma can be treated with extensive resection and adjuvant radiotherapy. (II) Wide excision with above 2 cm margin distance should be attempted to obtain R0 resection margin for chest wall tumor unless the tumor involves vital organs or structures, including the great vessels, heart, trachea, joints, and spine. (III) For patients with chest wall tumors undergoing unplanned excision (UE) for the first time, it is necessary to carry out wide excision as soon as possible within 1-3 months following the previous surgery. (IV) Current Tumor Node Metastasis staging criteria (American Joint Committee on Cancer) of bone tumor and soft tissue sarcoma are not suitable for chest wall sarcomas. (V)It is necessary to use rigid implants for chest wall reconstruction once the maximum diameter of the chest wall defect exceeds 5 cm in adults and adolescents. (VI) For non-small cell lung cancer (NSCLC) invading the chest wall, wide excision with neoadjuvant and/or adjuvant therapy are recommended for patients with stage T 3-4 N 0-1 M 0 . As clear guidelines are lacking, these consensus statements on controversial issues on chest wall tumors and resection could possibly serve as further guidance in clinical practice during the upcoming years.

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Section: Consensus 1: Wide Excision Should Be Performed For Desmoid Tumor (Dt) Of Chest Wall (Category 1) After Excluding the Distant Metmentioning

confidence: 99%

Expert consensus on resection of chest wall tumors and chest wall reconstruction

Wang¹,

Yan²,

Zhao³

et al. 2021

Transl Lung Cancer Res

Self Cite

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“…If surgery is performed, it is usually before radiotherapy, and it is used to assist deterministic radiotherapy[ 1 , 27 ]. According to our literature review, costal plasmacytoma was treated with surgical resection combined with radiotherapy, and the tumor recurrence-free or remission-free duration was 6–30 mo (average 16.1 ± 8.9, median 12 mo)[ 5 , 7 , 9 , 13 - 16 , 23 , 25 ]. For patients who received only surgical resection without postoperative radiotherapy, the tumor relapse-free duration was 18 mo[ 21 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Solitary plasmacytoma of the left rib misdiagnosed as angina pectoris: A case report

Yao¹,

He²,

Wang³

et al. 2022

WJCC

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BACKGROUND Solitary plasmacytoma in the left rib is rare and can cause chest discomfort such as chest pain and tightness, and its clinical manifestations are not typical, so it is often misdiagnosed. We report a case of left costal plasmacytoma misdiagnosed as angina pectoris. We also review the literature and provide suggestions as to how to avoid misdiagnosis. CASE SUMMARY A 77-year-old man with a history of intermittent chest tightness for 3 years presented with pain in the left chest for 1 wk and was admitted to hospital. The cardiologists initially diagnosed angina pectoris but the findings of coronary angiography were not consistent with the symptoms. Computed tomography showed that the left eighth rib mass was accompanied by bone destruction. The patient was transferred to our department for further treatment. Preoperative biopsy indicated that the lesion was possibly malignant, and elective surgery was performed to remove the lesion. The size of the tumor was about 4 cm. The tumor was spindle-shaped and protruded into the pleural cavity, without invading the lungs. Postoperative pathology confirmed that the left rib lesion was plasmacytoma. After 14 mo follow-up, the patient died of systemic metastasis. CONCLUSION Left rib solitary plasmacytoma is a rare disease confined to a specific rib and can cause local pain. Attention should be paid to the differential diagnosis of angina pectoris to avoid misdiagnosis.

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“…Given this therapy, it is known that the local recurrence rate is less than 10%, and the rate of progression to multiple myeloma in 10 years decreases to 30-50%. 6,9,18,19,20 The tumor response to radiotherapy may found in vary. In common, giving a radiation response of 93% with 62% complete response and 31% partial response.…”

Section: Discussionmentioning

confidence: 99%

“…6) Plasma cell growth in pre-radiation bone marrow examination. 3,4,5,6,9,14,21 Study of Bataline and Sony enrolling 114 solitary bone plasmacytoma cases, which stated that the patients who underwent surgery and radiotherapy had the lowest incidence of multiple myeloma in the future compared with patients who received radiotherapy or surgery alone. A study conducted by the Cancer Center of Sun Yat-Sen University of Korea also supported this statement.…”

Section: Discussionmentioning

confidence: 99%

A Solitary Bone Plasmacytoma In the Mandible: A Case Report

Yulian

Suryadi²

2020

NRJS

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Solitary bone plasmacytoma is a localized neoplasm in the bone consisting of abnormal plasma cells. We herein report an unusual presentation of solitary bone plasmacytoma in the mandible. A 57-year-old woman with the lump at the right jaw, which was increased gradually for 13 years. The diagnosis build based on clinical, radiological, and histopathological findings. She underwent radiotherapy before surgery using a 50 Gy of irradiation for 25 times results in a partial response. A hemimandibulectomy proceeded, followed by immediate reconstruction using a free vascularized fibular flap. Complete resection may eliminate monoclonal proteins in serum and reduce disease progression into multiple myeloma. The patient remains to follow up regular visits to the oncology surgery clinic in RSCM, with no recurrence of disease in six months postoperative.

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Surgery combined with radiotherapy for the treatment of solitary plasmacytoma of the rib: a case report and review of the literature

Cited by 8 publications

References 22 publications

Expert consensus on resection of chest wall tumors and chest wall reconstruction

Expert consensus on resection of chest wall tumors and chest wall reconstruction

Solitary plasmacytoma of the left rib misdiagnosed as angina pectoris: A case report

A Solitary Bone Plasmacytoma In the Mandible: A Case Report

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