Türk Nöroşirürji Dergisi 2016 , Vol 26 , Num 3
Spinal Plasmacytomas
Gökhan ÇAVUŞ1, Yurdal GEZERCAN1, Ali İhsan ÖKTEN1, Vedat AÇIK1, Fulya ADAMHASAN2, Emre BİLGİN1
1Adana Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Adana, Türkiye
2Adana Numune Eğitim ve Araştırma Hastanesi, Patoloji Kliniği, Adana, Türkiye
AIM: Plasmacytoma, a plasma cell disorder, is a solitary or multipl neoplasm of monoclonal plasma cells. A benign lesion, plasmacytoma may progress to its disseminated form, multiple myeloma, a malignant and potentially fatal disease. Solitary plasmacytoma of bone accounts for only 3% of all plasma cell tumors. Multipl myeloma more frequently occurs in the late sixth decade, where as plasmacytoma commonly affects patients in the late fifth decade. Radiotherapy is the preferred treatment for this disease.

MATERIAL and METHODS: In this report we present the 6 patient with spinal plasmocytoma in our clinic between the years 2011- 2016. Patients were evaluated preoperative by radiography, spinal computed tomography and contrast spinal magnetic resonance imaging.

RESULTS: Decompression, 360˚ stabilization and fusion with posterolateral approach was performed in a single session for 3 patients. Biopsy was performed in other 3 patients. Postoperative recovery at neurological deficits was seen in 2 patients at an early stage. After putting pathology diagnosis all patients were referred to oncology clinic.

CONCLUSION: Although solitary plasmocytoma is a rare form of plasma cell disorders, it should be kept in mind in the differential diagnosis. We suggest decompression, 360˚ stabilisation and fusion with posterolateral approach in the same session in patients who need surgical intervention for severe pain, spinal cord compression and spinal instability. Anahtar Kelimeler : Plasmacytoma, Spine, Surgery