Solitary bone plasmacytoma: the unusual case of extra-cranial mini brain

Alfalahi, Afra; Khairi, Tarig; Albastaki, Usama; Sibaie, Ayman Al; Rashid, Anas; Attabib, Najmedden; Raman, Lakshmiah G.; Abedzadeh, Ayoub; Iqbal, Shaikh Sayeed

doi:10.1259/bjrcr.20180065

Cited by 1 publication

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Solitary bone plasmacytomas appear as expansile, lytic lesions with marked cortical thinning and expansion. Occasionally, the “mini-brain” appearance may be noted where curvilinear low signal intensity struts may be seen radiating from the lesion ( 90 , 91 ). In advanced stages, it may appear as a “soap-bubble” lesion, with a similar appearance to a giant cell tumor or Brown’s tumor.…”

Section: Other Plasma Cell Dyscrasiasmentioning

confidence: 99%

Imaging for Plasma Cell Dyscrasias: What, When, and How?

et al. 2022

View full text Add to dashboard Cite

Imaging plays a vital role in the diagnosis, response assessment, and follow-up of patients with plasma cell bone disease. The radiologic diagnostic paradigm has thus far evolved with developing technology and availability of better imaging platforms; however, the skewed availability of these imaging modalities in developed vis-à-vis the developing countries along with the lack of uniformity in reporting has led to a consensus on the imaging criteria for diagnosing and response assessment in plasma cell dyscrasia. Therefore, it is imperative for not only the radiologists but also the treating oncologist to be aware of the criteria and appropriate imaging modality to be used in accordance with the clinical question. The review will allow the treating oncologist to answer the following questions on the diagnostic, prognostic, and predictive abilities of various imaging modalities for plasma cell dyscrasia: a) What lesions can look like multiple myeloma (MM) but are not?; b) Does the patient have MM? To diagnose MM in a high-risk SMM patient with clinical suspicion, which modality should be used and why?; c) Is the patient responding to therapy on follow-up imaging once treatment is initiated?; d) To interpret commonly seen complications post-therapy, when is it a disease and when is the expected sequel to treatment? Fractures, red marrow reconversion?; and e) When is the appropriate time to flag a patient for further workup when interpreting MRI spine done for back pain in the elderly? How do we differentiate between commonly seen osteoporosis-related degenerative spine versus marrow infiltrative disorder?

show abstract

Section: Other Plasma Cell Dyscrasiasmentioning

confidence: 99%