USF-LVHN SELECT
Preoperative embolization of a solitary bone plasmacytoma of the proximal humerus.
Publication/Presentation Date
12-1-2024
Abstract
Solitary plasmacytoma of bone (SPB) is a rare plasma cell malignancy that most often presents with localized pain. This case describes a 70-year-old female with a pathologic humeral fracture due to a large, hypervascular SPB. The tumor was assumed to be a metastatic lesion, and preoperative embolization was performed to minimize intraoperative blood loss, followed by tumor debulking and total shoulder arthroplasty. The total estimated blood loss was limited to 100cc, and the patient was returned to baseline functional status with full shoulder range of motion at 6 months postop. Literature on embolization of appendicular plasmacytomas is sparse; however, this case supports its efficacy. We recommend considering preoperative embolization as an adjunctive therapy for all hypervascular bone tumors requiring surgical management, regardless of origin.
Volume
19
Issue
12
First Page
5984
Last Page
5989
ISSN
1930-0433
Published In/Presented At
Penny, P., Lin, T., Zhu, J., Li, B., Henning, J., Chao, A., Hasan, E., Khoury, J., & Al-Roubaie, M. (2024). Preoperative embolization of a solitary bone plasmacytoma of the proximal humerus. Radiology case reports, 19(12), 5984–5989. https://doi.org/10.1016/j.radcr.2024.09.042
Disciplines
Medical Education | Medicine and Health Sciences
PubMedID
39328946
Department(s)
USF-LVHN SELECT Program, USF-LVHN SELECT Program Students
Document Type
Article