Diagnosis and surgical therapy of plasma cell neoplasia of the spine

Rok, strany: 2009, 84 - 87

Presented is a retrospective analysis of 27 patients with plasma cell neoplasms of the spine treated by surgery. Multiple myeloma was confirmed in 22 (81%) and solitary plasmacytoma in 5 patients (19%), assessed at the time of surgery. Nineteen patients (70%) with the preliminary diagnosis of malignancy of unknown etiology were admitted for surgery. In 23 patients (85%) the essential symptom was back pain, which preceded surgery by an average of 4 months. Thirteen patients (48%) were bedridden due to tumor spinal cord compression, on average for 7 days before undergoing surgery. Only 5 out of 13 bedridden patients (38%) regained the ability to walk after surgery and 8 patients (62%) remained bedridden despite successful surgical decompression of the spinal cord. The difference of survival of the patients between bedridden and able to walk prior to surgery was statistically significant (Cox’s F-Test = 0.005). Key words: plasma cell neoplasia, spinal cord compression, late diagnosis, outcome

ISO 690:

Rehak, S., Maisnar, V., Malek, V., Cesak, T., Ryska, P., Bartos, M., Talab, R. 2009. Diagnosis and surgical therapy of plasma cell neoplasia of the spine. In NEOPLASMA, vol. 56, no.1, pp. 84-87. 0028-2685.

APA:

Rehak, S., Maisnar, V., Malek, V., Cesak, T., Ryska, P., Bartos, M., Talab, R. (2009). Diagnosis and surgical therapy of plasma cell neoplasia of the spine. NEOPLASMA, 56(1), 84-87. 0028-2685.