Solitary bone plasmacytoma

Case contributed by Dr Bruno Di Muzio

Presentation

Painful mass in lower left rib.

Patient Data

Age: 50 years
Gender: Male
X-ray

Chest radiograph

A rounded mass is demonstrated within the left chest wall associated with a focal destruction of the 6th rib. The lungs and pleural spaces are clear. 

CT

CT Chest (selected images)

The mass is confirmed to be a soft tissue tumour destroying the rib. Dependent atelectasis and small left pleural effusion.

Case Discussion

Solitary bone plasmacytoma: the thoracic vertebrae are most commonly involved, followed by lumbar, sacral, and cervical vertebrae. The rib, sternum, clavicle, and/or scapula are involved in ~20% of cases.

This case was discussed in a multidisciplinary meeting where the diagnosis was announced. 

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Case information

rID: 12537
Published: 13th Dec 2010
Last edited: 16th Jul 2018
System: Chest
Inclusion in quiz mode: Included

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