A Case of Solitary Plasmacytoma of The Chest Wall

Akın Kuzucu; Ömer Soysal; Emin Kaya; Mehmet Özgel

Akın Kuzucu¹, Ömer Soysal¹, Emin Kaya², Mehmet Özgel¹

¹İnönü Üniversitesi Tıp Fakültesi Turgut Özal Tıp Merkezi, Göğüs Cerrahisi Anabilim Dalı, Malatya
²İnönü Üniversitesi Tıp Fakültesi Turgut Özal Tıp Merkezi, Hematoloji Anabilim Dalı, Malatya

Solitary plasmacytoma is a rare tumour of plasma cell origin. A 48-year-old woman presented with a complaint of pain in the left hemithorax, which increased in severity for the past 10 days. On physical examination, a painful and solid mass was palpated posterior to the left hemithorax. Radiography of the chest and computed tomography confirmed the mass lesion, 8x5 cm in size, originating from the eighth rib with destruction to the rib. Total bone scintigraphy showed no bone involvement other than the lesion. Total excision of the mass was performed together with the upper and lower intercostal muscles, the eighth rib, and the vertebral transverse process due to close proximity. Histopathologic diagnosis was plasmacytoma. Because surgical margins were tumorfree, radiotherapy was not considered. The patient did not have any complaint during a follow-up of 23 months.

Keywords : Bone neoplasms; plasmacytoma/pathology/surgery; soft tissue neoplasms; thoracic wall

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