Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2022; 10(20): 7037-7044
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.7037
Solitary plasmacytoma of the left rib misdiagnosed as angina pectoris: A case report
Jian Yao, Xu He, Cheng-Yuan Wang, Li Hao, Li-Li Tan, Chun-Jian Shen, Ming-Xiao Hou
Jian Yao, Xu He, Cheng-Yuan Wang, Chun-Jian Shen, Ming-Xiao Hou, Department of Cardiothoracic Surgery, Second Affiliated Hospital of Shenyang Medical College, The Veterans General Hospital of Liaoning Province, Shenyang 110001, Liaoning Province, China
Li Hao, Department of Pathology, Second Affiliated Hospital of Shenyang Medical College, the Veterans General Hospital of Liaoning Province, Shenyang 110001, Liaoning Province, China
Li-Li Tan, Department of Cardiology, Second Affiliated Hospital of Shenyang Medical College, the Veterans General Hospital of Liaoning Province, Shenyang 110001, Liaoning Province, China
Author contributions: Yao J, He X and Wang CY performed the operation; Shen CJ, Tan LL provided guidance on preoperative diagnosis; Hao L completed the pathological analysis and diagnosis; Yao J and Hou MX wrote and reviewed the paper; all authors issued final approval for the version to be submitted.
Informed consent statement: The patient provided written informed consent to publish this case report and accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Yao, MD, Doctor, Department of Cardiothoracic Surgery, Second Affiliated Hospital of Shenyang Medical College, The Veterans General Hospital of Liaoning Province, No. 20 Beijiu Road, Heping District, Shenyang 110001, Liaoning Province, China. yaoyao5506@hotmail.com
Received: November 22, 2021
Peer-review started: November 22, 2021
First decision: December 10, 2021
Revised: December 24, 2021
Accepted: May 22, 2022
Article in press: May 22, 2021
Published online: July 16, 2022
Core Tip

Core Tip: In the diagnosis of rib solitary plasmacytoma (SP), attention should be paid to the following aspects: the patient has an unknown cause of rib fracture or there is a long-term chest pain; and the computed tomography of the rib shows that osteolysis of ribs coexists with soft tissue mass around the rib. Local surgical resection is the first choice for the treatment of rib SP. Postoperative radiotherapy should be performed to obtain a better curative effect, prolong patient survival and prevent tumor progression and recurrence. Attention should be paid to the differential diagnosis from angina pectoris to avoid misdiagnosis.