Extramedullary Plsasmacytoma Developed in the Thoracic Epidural Space: Case Report.
- Author:
Soo Hyeon MOON
1
;
Jung Yul PARK
;
Yoon Kwan PARK
;
Hung Seob CHUNG
;
Jung Keun SUH
;
Hoon Gap LEE
Author Information
1. Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Extramedullary plasmacytoma;
Multiple myeloma;
Solitary plasmacytoma;
Spinal cord compression
- MeSH:
Aged;
Bone Marrow;
Diagnosis;
Epidural Space*;
Female;
Humans;
Immunoglobulin M;
Magnetic Resonance Imaging;
Multiple Myeloma;
Neoplasms, Plasma Cell;
Paraplegia;
Plasmacytoma;
Spinal Cord Compression;
Spine;
Thoracic Vertebrae
- From:Journal of Korean Neurosurgical Society
1994;23(10):1195-1201
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spinal cord compression associated with plasma cell neoplasm is observed always in the patients suffering from the multiple myeloma or solitary plasmacytoma that occur in the marrow of the spine. Authors report a rare case of extramedullary plasmacytoma forming a mass in the epidural space of the thoracic spine. In 70 year old woman with paraplegia, MRI of the thoracic spine indicated a presence of epidural mass at the 2nd to 8th thoracic vertebrae. There was no abnormal bony changes in the spine on plain X-ray and MRI. Total removal of the epidural mass was performed by posterior approach. Histopathologic examination including immunohistochemical stain showed the plasma cell neoplasm producing IgM and kappa light chain. Cancer workup after operation including bone marrow study and whole body simple radiologic studies supported the diagnosis of extramedullary plasmacytoma.
