Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Saturday, December 7, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 24900
  Title Plasmacytoma of the cervical spine: A case study [case report]
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440636/
Journal J Chiropr Med. 2017 Jun;16(2):170-174
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: The purpose of this case study is to describe the presentation of a patient with plasmacytoma.

Clinical Features: A 49-year-old man presented with progressive neck pain, stiffness, and dysphagia to a chiropractic office. A radiograph indicated a plasmacytoma at C3 vertebral body. The lesion was expansile and caused a mass effect anteriorly on the esophagus and posteriorly on the spinal cord. Neurologic compromise was noted with fasciculations and hypesthesia in the right forearm. The patient was referred to a neurosurgeon.

Intervention and Outcome: Surgical resection of the tumor was performed with a vertebral body spacer and surrounding titanium cage. Bony fusion was initiated by inserting bone grafts from the iliac crests into the titanium cage. Additional laboratory analysis and advanced imaging confirmed that the plasmacytoma had progressed to multiple myeloma and radiation and chemotherapy were also necessary.

Conclusion: A chiropractor recognized a large, expansile plasmacytoma in the C3 vertebral body and referred the patient for surgical care. This case suggests that all practitioners of manual medicine should provide a careful analysis of the patient’s clinical presentation and, if clinically warranted, radiographic examination to determine neck or back pain is due to an underlying malignant condition.

Author keywords: Plasmacytoma; Multiple Myeloma; Bone Neoplasms; Neoplasms, Plasma Cell

Author affiliations: Private Practice (United States / New York / Flushing); New York Chiropractic College. Department of Chiropractic Clinical Sciences (United States / New York / Seneca Falls); Private Practice (United States / New York / Garden City)

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.


 

   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an "asterisk*", also called a wildcard or truncation.  Example: "chiropract*" retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips

:)