Sternal Tumor Resection and Complex Chest Wall Reconstruction of a Solitary Plasmacytoma: A Report of a Rare Case

Localized sternal plasmacytoma is a rare and aggressive oncologic condition. Surgical resection followed by radiotherapy offers the highest chance of cure. Radical resection of the chest wall is technically feasible and is associated with improved outcomes. Subsequent reconstruction using meshes, plates, and both autologous and allogenic tissues allows for the restoration of chest wall function and may prolong survival. Patients with solitary plasmacytoma require close follow-up to monitor for local recurrence or distant disease progression. We present a case of a 63-year-old man diagnosed with a differentiated plasmacytoma of the manubrium. Successful resection and anterior chest wall reconstruction were performed.

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Publication Details

Journal
Cureus
Published
2025-08-04
DOI
https://doi.org/10.7759/cureus.89342
Primary Topic
Multiple Myeloma Research and Treatments
Type
article
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Sternal Tumor Resection and Complex Chest Wall Reconstruction of a Solitary Plasmacytoma: A Report of a Rare Case

Magdalena Alexieva, Evgeni Mekov, Rosen Petkov, Georgi Gergov et al.
Cureus
Multiple Myeloma Research and Treatments
article

Sternal Tumor Resection and Complex Chest Wall Reconstruction of a Solitary Plasmacytoma: A Report of a Rare Case

Magdalena Alexieva, Evgeni Mekov, Rosen Petkov, Georgi Gergov, Georgi Yankov, Silvia Ivanova
article en

Abstract

Localized sternal plasmacytoma is a rare and aggressive oncologic condition. Surgical resection followed by radiotherapy offers the highest chance of cure. Radical resection of the chest wall is technically feasible and is associated with improved outcomes. Subsequent reconstruction using meshes, plates, and both autologous and allogenic tissues allows for the restoration of chest wall function and may prolong survival. Patients with solitary plasmacytoma require close follow-up to monitor for local recurrence or distant disease progression. We present a case of a 63-year-old man diagnosed with a differentiated plasmacytoma of the manubrium. Successful resection and anterior chest wall reconstruction were performed.

CureusVol. 17(8)
University Hospital St. Ivan Rilski (BG)
Openalex Percentile: Top 76%
Multiple Myeloma Research and Treatments
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