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ISSN 1729-6935 (Electronic)
16 de abril

2021, Number 282

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16 de abril 2021; 60 (282)

Solitary bone plasmocytoma, a rare monoclonal gammopathy. A Case report

Labrada PL, Areces LA, Gámez PA

Language: Spanish
References: 17
Page: 1-4
PDF size: 414.42 Kb.


ABSTRACT

Solitary bone plasmacytoma is a rare presenting plasma cell tumor that has been observed as a precursor to multiple myeloma; It is located mainly in the spine, causing pain at the thoracic and/or lumbar level. We report the case of a 55-year-old female patient who presented long-standing low back pain without associated trauma, accompanied by paraparesis; A chest X-ray was indicated, which revealed an osteolytic image, corresponding to a solitary bone plasmacytoma that was confirmed by histological examinations. After pharmacological treatment and radiotherapy, the evolution of the patient was satisfactory. Solitary bone plasmacytoma is a rare monoclonal gammopathy that should be suspected in the presence of axially located bone pain without a history of trauma associated with paraparesis. Its main differential diagnosis is multiple myeloma, which is sometimes the final result of its evolution.


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