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Case Report
Extramedullary plasmacytoma presenting as a rapidly growing lateral neck mass: A case report
1 Department of Neurosurgery, Howard University Hospital, Washington, DC, USA
2 Howard University College of Medicine, Washington, DC, USA
Address correspondence to:
Damirez Fossett
MD, Department of Neurosurgery, Howard University Hospital, 2041 Georgia Avenue NW, Washington, DC 20059,
USA
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Article ID: 101398Z01CS2023
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How to cite this article
Salib CG, Harper CN, Carter S, Fleurizard T, Fossett D. Extramedullary plasmacytoma presenting as a rapidly growing lateral neck mass: A case report. Int J Case Rep Images 2023;14(1):133–137.ABSTRACT
Introduction: We detail the rare clinical presentation of an extramedullary plasmacytoma as a rapidly growing lateral neck mass. The pathology and its management are discussed. A rapidly growing extramedullary plasmacytoma infiltrating the cervical spine.
Case Report: A 53-year-old male presented to our emergency room with a one-month history of worsening left-sided neck pain and an enlarging lateral neck mass. Evaluation with cervical imaging and laboratory analysis were performed. The patient underwent a soft tissue biopsy with subsequent spinal cord decompression and an occipital-cervical fusion. Pathology revealed the diagnosis of plasmacytoma. The patient was referred to oncology and radiation therapy for adjuvant treatment.
Conclusion: This case represents the unusual presentation of a rapidly growing extramedullary plasmacytoma to the soft tissues of the neck with subsequent erosion of the base of the skull and upper cervical vertebral spine. It was treated effectively with posterior cervical decompression, arthrodesis, and adjuvant radiation and chemotherapy.
Keywords: Chemotherapy, Extramedullary plasmacytoma, Occipito-cervical fusion, Radiation therapy
SUPPORTING INFORMATION
Author Contributions
Christopher G Salib - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Cierra N Harpe - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Stephanie Carter - Acquisition of data, Drafting the article, Final approval of the version to be published
Therlinsie Fleurizard - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Damirez Fossett - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Christopher G Salib et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
