Solitary bone plasmacytoma compression injury disguised as back pain: a case report

Abstract

Introduction Low back pain is a leading disability worldwide; however, it is not often the result of a serious underlying condition such as a tumor. As a result, diagnosis of a serious underlying cause of low back pain may be delayed, such as in this case. Case presentation We describe a case of a man presenting with low back pain, who was eventually diagnosed with solitary bone plasmacytoma (SBP) causing spinal cord compression from approximately T7-T9. The patient was classified as T8 ASIA C-Incomplete Paraplegia. He underwent an emergency T7-T9 open posterior laminectomy and resection of the epidural mass/tumor. Following an intensive course of rehabilitation treatment, the patient progressed to ASIA D. Discussion Although SBP of the spine is rare, back or neck pain is a common initial presentation. This case is unique in that we provide a detailed description of both medical and rehabilitation diagnosis and treatment. We also suggest that persistent back pain warrants complete MRI spinal imaging to provide proper diagnosis and prompt treatment for cases with a serious underlying condition.

Amiodarone Prevents Atrial Fibrillation Induced by Arsenic Trioxide in Extramedullary Plasmacytoma Involving Lumbar Disc: A Novel Case Report

“…Marrow containing bones especially spine is typical site for SOP. Some recent published cases of spinal plasmacytoma like thoracic (T7-T9), cervical (C3), lumbar (L4) confirm this anatomical region and involvement with malignancy [10][11][12]. In our paper, we described an exceptional case of primary plasmacytoma with lumbar disc involvement.…”

Cauda Equina Syndrome as the Initial Presentation of Concurrent Plasmacytoma and Multiple Myeloma

“…Emergency surgical intervention, such as decompressive laminectomy, is considered to be the first line of treatment in the event of resultant neurological compromise due to spinal cord compression or CES. The treatment modalities implemented in our case have been documented in the medical literature [5,10]. RT is a preferred treatment modality for patients who are not considered to be surgical candidates, as well as an adjuvant treatment following surgical decompression.…”

“…Approximately 50% of patients with SBP and 30% of patients with EMP develop MM within 10 years after the initial diagnosis [3][4]. While back pain and compression fractures are commonly described presentations of MM and SBP, cauda equina syndrome, as a result of plasma cell infiltration, is rare and clinical guidelines are limited [5]. Herein, we discuss the case of a woman who presented with acute cauda equina syndrome (CES) with a subsequent diagnosis of SBP and MM.…”