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Solitary plasmacytoma: experiences from Central Anatolia
1Suleyman Demirel University Medical Faculty, Dept. of Internal Medicine, Isparta, Turkey. hscoskun@med.sdu.edu.tr
Background:
Solitary plasmacytoma localised to bone or soft tissue without myeloma.
Aim:
Clinical features and survival was analysed in patients from Central Anatolia.
Methods:
Twenty-three solitary plasmacytoma (18 male, 5 female) were evaluated retrospectively. Median age was 58 years (46-72). The major localisation was vertebral column.
Results:
All patients but one (larynx) had surgical resection and 21 patients received radiotherapy postoperatively. Multiple myeloma developed in eight patients (35%) and local relapse was detected in one patient. Eight patients died, causes of death were multiple myeloma progression in six patients, local relapse of intracranial plasmacytoma in one patient and cranial trauma in one patient who was in complete remission. Three and 5 years progression free survival were 45.6% and 22.8% respectively and overall survivals were 54.4% and 27.2% respectively.
Conclusion:
Solitary plasmacytoma cases should be followed carefully regarding local relapse and progression to myeloma.