Department of Thoracic Surgery, Thoraxklinik, University of Heidelberg, Heidelberg, Germany.
Ann Thorac Surg. 2013 Dec;96(6):2223-5. doi: 10.1016/j.athoracsur.2013.04.109.
Solitary plasmocytoma of bone is a rare condition of plasma cell neoplasia that presents as a single lesion. Amyloidoma of the chest wall is an uncommon presentation of solitary tissue amyloid deposition in the absence of systemic light-chain amyloidosis. This report describes a patient with both uncommon conditions. The tumor originated from the spine and invaded the right lung. In this exceedingly rare case, radiotherapy and a two-step resection of the right lower lobe, full-thickness chest wall, diaphragm, and vertebral body of T9 provided local control of the tumor. Spondylodesis of T7 to T11 provided spine stability.
骨孤立性浆细胞瘤是一种罕见的浆细胞肿瘤，表现为单个病变。胸壁淀粉样瘤是在没有全身轻链淀粉样变性的情况下，孤立组织淀粉样物质沉积的一种不常见表现。本报告描述了一例同时患有这两种罕见疾病的患者。肿瘤起源于脊柱并侵犯右肺。在这个极其罕见的病例中，采用放射治疗和右肺下叶、全层胸壁、膈肌和 T9 椎体的两步切除术，实现了肿瘤的局部控制。T7 至 T11 的脊柱融合术提供了脊柱稳定性。
