Hirai T, Hamada Y, Kanou T, Kobayashi J, Endo K, Morishita Y
Department of Surgery, National Sanatorium Nishigunma Hospital, Gunma, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Feb;43(2):205-9.
A 72-year-old woman with solitary plasmacytoma of the right fifth rib was surgically treated. She underwent radical resection of the bony chest wall including the right fifth rib, the ribs above and below the involved rib, the intercostal muscle, and the parietal pleura. Histological finding of the tumor was plasmacytoma of the rib. The type of monoclonal protein was IgG and lamda. She is doing well one year and eleven months after surgery without any signs of recurrence. Solitary plasmacytoma is rare as compared with multiple myeloma. Patients with solitary plasmacytoma originating in the rib have a feasibility of operative indication, and radical treatment is expected to be by adequate surgical resection. Seventeen cases of solitary chest wall plasmacytoma described in the Japanese literature are reviewed.
一名72岁患有右第五肋骨孤立性浆细胞瘤的女性接受了手术治疗。她接受了包括右第五肋骨、受累肋骨上下的肋骨、肋间肌和壁层胸膜在内的胸壁骨骼的根治性切除。肿瘤的组织学检查结果为肋骨浆细胞瘤。单克隆蛋白类型为IgG和λ。术后一年零十一个月她情况良好，没有任何复发迹象。与多发性骨髓瘤相比，孤立性浆细胞瘤较为罕见。起源于肋骨的孤立性浆细胞瘤患者有手术指征的可行性，预期通过充分的手术切除进行根治性治疗。本文回顾了日本文献中描述的17例孤立性胸壁浆细胞瘤病例。
