Spinal Cord Compression Due to Mediastinal Extramedullary Plasmacytoma.
- Author:
Hanbin YOO
1
;
Taekyung KANG
;
Sungchan OH
;
Sukjin CHO
;
Hyejin KIM
;
Seungwoon CHOI
;
Sunhwa LEE
;
Seokyong RYU
;
Mi Jin KANG
Author Information
1. Department of Emergency Medicine, Bumin Hospital Seoul, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Multiple myeloma;
Plasmacytoma;
Tomography;
X-ray computed
- MeSH:
Aged, 80 and over;
Back Pain;
Diagnosis;
Drug Therapy;
Emergencies;
Emergency Medicine;
Emergency Service, Hospital;
Humans;
Leg;
Magnetic Resonance Imaging;
Mediastinum;
Multiple Myeloma;
Plasmacytoma*;
Radiotherapy;
Spinal Cord Compression*;
Spinal Cord*;
Thorax
- From:Journal of the Korean Society of Emergency Medicine
2016;27(4):376-378
- CountryRepublic of Korea
- Language:English
-
Abstract:
Extramedullary plasmacytoma (EMP) is a common plasma cell tumor often involving the upper aerodigestive tract. Although extremely rare, mediastinal involvement is possible. An 81-year-old man was presented to our emergency department with chest and back pain with weakness in both legs. Chest X-ray showed a large mass in the upper right mediastinum; subsequently, computed tomography and magnetic resonance imaging evaluated the mass. He was diagnosed with mediastinal EMP, which progressed to spinal cord compression. The patient was treated with radiotherapy and chemotherapy. Spinal cord compression, due to metastatic tumor, is an emergency clinical situation that requires prompt diagnosis and treatment. Emergency medicine physicians should be aware of the clinical presentation and complications associated with EMP.
