Li RJ, Li XF, Jiang WM. Solitary bone plasmacytoma of the upper cervical spine: A case report . World J Clin Cases 2021; 9(10): 2380-2385 [PMID: 33869617 DOI: 10.12998/wjcc.v9.i10.2380]
Corresponding Author of This Article
Wei-Min Jiang, DO, PhD, Chief Doctor, Doctor, Full Professor, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Street, Suzhou 215000, Jiangsu Province, China. jwm858188@sina.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 6, 2021; 9(10): 2380-2385 Published online Apr 6, 2021. doi: 10.12998/wjcc.v9.i10.2380
Solitary bone plasmacytoma of the upper cervical spine: A case report
Ren-Jie Li, Xue-Feng Li, Wei-Min Jiang
Ren-Jie Li, Xue-Feng Li, Wei-Min Jiang, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Li RJ, Li XF and Jiang WM participated in the diagnosis and performed the surgery; Li RJ wrote the manuscript; Li XF revised the manuscript; All authors read and approved the manuscript.
Informed consent statement: Consent was obtained from the patient at the time of investigations.
Conflict-of-interest statement: The authors declare no conflicts of interest involved.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared according to 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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Min Jiang, DO, PhD, Chief Doctor, Doctor, Full Professor, Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Street, Suzhou 215000, Jiangsu Province, China. jwm858188@sina.com
Received: December 10, 2020 Peer-review started: December 10, 2020 First decision: January 17, 2021 Revised: January 18, 2021 Accepted: January 27, 2021 Article in press: January 27, 2021 Published online: April 6, 2021
Abstract
BACKGROUND
Solitary bone plasmacytoma (SBP) of the upper cervical spine is a rare diagnosis. The exact role of surgery for SBP remains unclear.
CASE SUMMARY
We present the first case of SBP of the C2. A 69-year-old Chinese woman presented with severe neck pain and limitation of rotative activity for 2 mo. She underwent anterior one-stage debridement combined with cement augmentation in the C2 to reconstruct stability of the spine. The patient did not receive postoperative radiotherapy. She now remains disease free with no neck pain or neurological deficit after follow-up of 3 years.
CONCLUSION
Anterior one-stage debridement combined with cement augmentation of the upper cervical spine may be an alternative treatment for SBP.
Core Tip: We present a case of solitary bone plasmacytoma on the C2 with follow-up of 3 years. The patient underwent anterior one-stage debridement combined with cement augmentation. The results of this case provide a choice for surgical treatment of solitary bone plasmacytoma. They also show that radical surgery without radiotherapy is a rational choice for treating solitary bone plasmacytoma with spinal instability.
