Universität zu Köln

Hans, Franz Josef, Geibprassert, Sasikhan, Krings, Timo, Weis, Joachim ORCID: 0000-0003-3280-6773, Deckert, Martina, Ludolph, Alexander, Osieka, Rainhardt and Jost, Edgar (2013). Solitary Plasmacytoma Presenting as an Intramedullary Mass of the Cervical Cord. J. Neurol. Surg. Part A, 74. S. E13 - 5. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 2193-6323

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Abstract

Extramedullary plasmacytomas originating in the spinal cord are extremely rare lesions. We report a 52-year-old man presenting with progressive tetraparesis. Spinal magnetic resonance imaging (MRI) showed an ill-defined contrast-enhancing intramedullary mass at the C5-6 level. After a biopsy was taken, pathology including immunohistochemistry revealed plasmacytoma. Complete workup for multiple myeloma was negative. The patient was treated with intravenous chemotherapy followed by radiotherapy and corticosteroids without any improvement of the clinical symptoms or decreased tumor size on the follow-up MRIs. The most common spinal manifestation of plasmocytoma is involvement of the vertebral bodies leading to extradural compression of the cord. Only rarely plasmocytoma manifests itself as a primarily dural lesion leading to an intradural cord compression. This report describes the extremely rare manifestation of plasmocytoma of the spinal cord itself that therefore should be considered in the differential diagnosis of spinal cord mass lesions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hans, Franz Josef UNSPECIFIED UNSPECIFIED UNSPECIFIED Geibprassert, Sasikhan UNSPECIFIED UNSPECIFIED UNSPECIFIED Krings, Timo UNSPECIFIED UNSPECIFIED UNSPECIFIED Weis, Joachim UNSPECIFIED orcid.org/0000-0003-3280-6773 UNSPECIFIED Deckert, Martina UNSPECIFIED UNSPECIFIED UNSPECIFIED Ludolph, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Osieka, Rainhardt UNSPECIFIED UNSPECIFIED UNSPECIFIED Jost, Edgar UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-470627
DOI:	10.1055/s-0032-1320024
Journal or Publication Title:	J. Neurol. Surg. Part A
Volume:	74
Page Range:	S. E13 - 5
Date:	2013
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	2193-6323
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EXTRAMEDULLARY PLASMACYTOMA; MULTIPLE-MYELOMA Multiple languages Clinical Neurology; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47062