Abstract
A31-year-old man was admitted to our hospital with back pain for 3 months. His medical and family history was unremarkable. Physical examination revealed tenderness to palpation of the thoracic spine. Radiographs of the thoracic spine showed height loss of the T5 vertebral body. Computerized tomography and magnetic resonance imaging were performed. Computed tomography showed expansile lytic lesion with thinned cortex (Fig. 1). The lesion has low signal intensity on T1-weighted magnetic resonance images and high signal intensity on T2-weighted magnetic resonance images (Fig. 2). Corpectomy, reconstruction with titanium mesh cage, and anterior and posterior stabilization were performed. Pathology was consistent with plasmacytoma. Solitary plasmacytoma of bone is a seldom malignancy. It most commonly affects the axial skeleton. Thoracic vertebrae are most commonly involved.
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