Solitary Plasmacytoma of the Spine: A Rare Case Managed Successfully with Surgery

Authors

Saurabh Boralkar, Bharati Vidyapeeth Deemed University Medical College, PuneFollow
Karishma Rathi, Department of Pharmacy Practice at Dr. D.Y. Patil Institute of Pharmaceutical Sciences and Research Pimpri, India.Follow
Rushika Mhaske, Pharm D Intern of the Department of Pharmacy Practice at Dr. D.Y. Patil Institute of Pharmaceutical Sciences and Research Pimpri, Pune, IndiaFollow

Abstract

Solitary plasmacytoma of the spine accounts for 5% of plasmacytoma cases and is considered a rare condition. Many of the patients suffer from myelopathy, approximately 42–71%, where lesions are located in the dorsal spine, more than 25–60%. The ultimate choice between stabilising and irradiating locally or directly is debatable according to the therapy and diagnosis. Relying on institutional expertise and patient results, advocate for different therapies through several centres.

Clinical presentation: A 55-year-old patient presented with upper back pain diagnosed with D3-4 solitary plasmacytoma and was managed successfully with surgery.

Conclusion: Solitary plasmacytoma must be kept in mind as a differential diagnosis despite their location. Proteinemia abnormal levels might not always be present but are often seen in clinical settings. Patients, who are mostly misdiagnosed as having spinal TB, begin with ATT, which is harmful as it extends the conventional period of therapy. Patients advocate radiotherapy as it shows a decrease in recurrence occurrence.

Recommended Citation

Boralkar, Saurabh; Rathi, Karishma; and Mhaske, Rushika (2025) "Solitary Plasmacytoma of the Spine: A Rare Case Managed Successfully with Surgery," Palestinian Medical and Pharmaceutical Journal: Vol. 10 : Iss. 1 , Article 9.