Solitary plasmacytoma of the sacrum treated with microwave ablation in conjunction with high dose of dexamethasone: A case report and review of the literature

Author:

Ramírez Adrián Santana1,Gutiérrez Sergio Valente Esparza1,Ascencio Luz Monserrat Almaguer1,Rodríguez Pedro Avila1,Ortiz Omar Alejandro Santana2,González Rodrigo Fraga3,Heredia Jesús Nicolás Serrano4

Affiliation:

1. Department of Neurosurgery, Hospital Civil “Dr. Juan I. Menchaca,” Mexico.

2. Department of Health Sciences, Autonomous University of Guadalajara, Guadalajara, Mexico.

3. Department of Neurosurgery, Hospital Regional Valentin Gomez Farias Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Zapopan, Mexico.

4. Department of Radiology, Imaging and Diagnosis Center (CID), Guadalajara, Mexico.

Abstract

Background: Plasma cell neoplasms are characterized by the neoplastic proliferation of a single clone of plasma cells. Solitary plasmacytomas most often occur in bone, but they can also be found in soft tissues. Case Description: A 53-year-old male presented with localized sacral pain and urinary incontinence. His radiographic studies showed a solitary sacral plasmacytoma (i.e., involving the bone). He was successfully managed with high-dose dexamethasone and microwave ablation (MWA). Conclusion: Plasmacytomas of bone can be occasionally successfully managed with MWA, adjuvant cytoreduction therapy, and high doses of dexamethasone.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

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