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J Korean Soc Emerg Med > Volume 27(4); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(4): 376-378.
Spinal Cord Compression Due to Mediastinal Extramedullary Plasmacytoma
Hanbin Yoo1, Taekyung Kang2, Sungchan Oh2, Sukjin Cho2, Hyejin Kim2, Seungwoon Choi2, Sunhwa Lee2, Seokyong Ryu2, Mi-Jin Kang3
1Department of Emergency Medicine, Bumin Hospital Seoul, Seoul, Korea
2Inje University Sanggye Paik Hospital, Seoul, Korea
3Department of Radiology, Inje University Sanggye Paik Hospital, Seoul, Korea
Correspondence  Taekyung Kang ,Tel: 02-950-1119, Fax: 02-950-1220, Email: emmania2011@paik.ac.kr,
Received: April 27, 2016; Revised: April 28, 2016   Accepted: June 7, 2016.  Published online: August 31, 2016.
ABSTRACT
Extramedullary plasmacytoma (EMP) is a common plasma cell tumor often involving the upper aerodigestive tract. Although extremely rare, mediastinal involvement is possible. An 81-year-old man was presented to our emergency department with chest and back pain with weakness in both legs. Chest X-ray showed a large mass in the upper right mediastinum; subsequently, computed tomography and magnetic resonance imaging evaluated the mass. He was diagnosed with mediastinal EMP, which progressed to spinal cord compression. The patient was treated with radiotherapy and chemotherapy. Spinal cord compression, due to metastatic tumor, is an emergency clinical situation that requires prompt diagnosis and treatment. Emergency medicine physicians should be aware of the clinical presentation and complications associated with EMP.
Key words: Multiple myeloma, Plasmacytoma, Tomography, X-ray computed
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