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Case Reports
. 2022 Apr 4;14(4):e23819.
doi: 10.7759/cureus.23819. eCollection 2022 Apr.

A Rare Case of Solitary Plasmacytoma Arising From the Sternum

Affiliations
Case Reports

A Rare Case of Solitary Plasmacytoma Arising From the Sternum

Nyan Bethel et al. Cureus. .

Abstract

Solitary plasmacytoma (SP) is characterized by an accumulation of neoplastic monoclonal plasma cells in a localized fashion, without evidence of multiple myeloma. It makes up <5% of all plasma cell neoplasms and is typically found in regions like the pelvis, ribs, vertebra, and spine. SP is classified into extramedullary plasmacytoma (EMP), which primarily affects soft tissues, and solitary bone plasmacytoma (SBP), which primarily affects the pelvis, ribs, vertebrae, and spine. We report a case of a 66-year-old man with sternal plasmacytoma presenting as chest pain. He was treated with radiation therapy. Here, we aim to describe the clinical features, diagnostic methods, treatment, and potential outcome in a patient with SBP.

Keywords: extramedullary plasmacytoma; multiple myeloma; plasma cells; solitary bone plasmacytoma; solitary plasmacytoma; sternum.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Axial computed tomography (CT) image of an osteolytic sternal mass
Figure 2
Figure 2. Sagittal computed tomography view of the sternal mass
Figure 3
Figure 3. Immunohistochemical stain (CD138) on sternal biopsy specimen revealing plasma cells (60x)
Figure 4
Figure 4. Bone marrow biopsy revealed minimal marrow involvement (H&E stain, 60x)

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