Lymphnode involvement in plasmacytoma

الملخص EN

A case of plasmacytoma of the spine with multiple sites of involvement at presentation is reported.

The sites involved were T4, T5, T9 levels and the jugular foramen.

The patient had no evidence of bone marrow involvement or paraprotein either in the serum or urine.

Resections of the tumour from T4 and T5 levels was performed, followed by radiation therapy.

The patient developed a recurrence seven and half years after the initial presentation.

The recurrence occurred at the right clavicle and in the soft tissue around it.

This was followed by multiple recurrences at the same site with involvement of the supraclavicular lymphnodes inspite of aggressive chemotherapy, radiation therapy and autologous stem cell transplant.

Fine Needle Aspiration cytology and histology showed a typical plasma cell neoplasm with characterstic nuclear features, immunohistochemistry was compatible with a plasmacytoma.