Abstract
Introduction: Plasmacytoma originating in the the chest wall is an uncommon chest wall tumor.
Methods: We report in this study 7 cases of chest wall plasmocytoma, collected in the Department of thoracic Surgery of Abderrahmen Mami hospital between 2000 and 2020.
Results: There were 5 Males and 2 females with a mean age of 59,5 +/-15,3 years. Symtomatology was made of painful and rapidly growing mass. Chest Computed tomography revealed an osteolytic chest wall mass in 4 cases and nonosteolitic parietal mass in 3 cases. The tumor was located on the sternum for 2 patients and on one rib for 5 patients. Of the 7 patients, 6 went to tumor surgical resection. Five patients underwent complete en-bloc resection including invaded ribs, muscle, and parietal pleura. Resection included one rib without reconstruction in 4 cases. Another patient had a resection of the involved rib and the ribs above and below, followed by reconstruction of the bony thorax. Of the 2 cases of sternum plasmocytoma, one patient underwent a manubrium resection and reconstruction through a transverse sternotomy. Radiotherapy was performed for the other patient; he was diagnosed with a locally advanced sternum plasmocytoma that already invaded anterior mediastinum. Histopathologically, the resected mass was confirmed to be a plasmacytoma. Margins were tumor free in 5 cases. Patients with invaded margins had radiotherapy. On follow-up examinations one year later, no tumor recurrence or evidence of multiple myeloma was detected.
Conclusion: Patients with plasmacytoma originating in the bony chest wall have a feasibility of operative indication, and we believe that radical en-bloc excision with tumor-free margins remains the treatment of choice.
Footnotes
Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA1980.
This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2021