Plasmacytoma to the Axis Mimicking Metastatic Paraganglioma: Circumferential Reconstruction via Posterior Approach.
10.14245/kjs.2015.12.4.283
- Author:
Young Seop PARK
1
;
Seung Jae HYUN
;
Ki Jeong KIM
;
Tae Ahn JAHNG
Author Information
1. Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Gyeonggi, Korea. hyunsj@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Plasmacytoma;
Axis;
Paraganglioma;
Posterior surgery;
Fusion
- MeSH:
Axis, Cervical Vertebra*;
Humans;
Magnetic Resonance Imaging;
Neck Pain;
Paraganglioma*;
Plasmacytoma*;
Quadriplegia;
Retroperitoneal Space;
Skeleton;
Spinal Cord Compression;
Spine
- From:Korean Journal of Spine
2015;12(4):283-286
- CountryRepublic of Korea
- Language:English
-
Abstract:
Plasmacytoma is a malignant plasma cell tumor growing within soft tissue or the axial skeleton. Here, we present the case of a patient with plasmacytoma of the axis vertebra who underwent decompressive surgery with reconstruction via a posterior approach. The patient was referred because of quadriparesis with severe neck pain. Magnetic resonance imaging revealed a relatively demarcated, highly enhanced mass lesion in a destructed axis, with spinal cord compression. Computed tomography revealed a 5.6x4.3 cm adrenal mass at the left retroperitoneal space. We suspected the axis lesion to be a metastatic paraganglioma from the adrenal mass. The patient underwent total excision of the tumor under an operative microscope with occipitocervical fixation. Histopathologically, the tumor was shown to be a plasmacytoma. Following the operation, the patient recovered without significant complications. This was a rare case of plasmacytoma in the axis, mimicking metastatic paraganglioma.
