Primary plasma cell leukemia presented as progressive paraplegia: a case report

Plasma cell leukemia (PCL) is a rare plasma cell disorder. It is the leukemic variant of multiple myeloma. A 52-year-old man with an atypical presentation of primary plasma cell leukemia is reported. The patient presented with paraparesis which progressively worsened to paraplegia. MRI of the spine...

Full description

Bibliographic Details
Main Authors: Hasmoni, Mohamed Hadzri, Abdul Wahid, Fadilah, Cheong, Soon Keng
Format: Article
Language:English
Published: Southern Medical Association 2009
Subjects:
Online Access:http://irep.iium.edu.my/12330/
http://irep.iium.edu.my/12330/1/Primary_Plasma_Cell_Leukemia_Presented_as.33%5B1%5D.pdf
_version_ 1848777426931286016
author Hasmoni, Mohamed Hadzri
Abdul Wahid, Fadilah
Cheong, Soon Keng
author_facet Hasmoni, Mohamed Hadzri
Abdul Wahid, Fadilah
Cheong, Soon Keng
author_sort Hasmoni, Mohamed Hadzri
building IIUM Repository
collection Online Access
description Plasma cell leukemia (PCL) is a rare plasma cell disorder. It is the leukemic variant of multiple myeloma. A 52-year-old man with an atypical presentation of primary plasma cell leukemia is reported. The patient presented with paraparesis which progressively worsened to paraplegia. MRI of the spine showed an extradural mass causing cord compression and multiple bony erosions from soft tissue masses. Peripheral blood film examination and bone marrow aspiration showed numerous plasmablasts. Atypical cells expressed surface and cytoplasmic lambda light chain on immunochemical studies, surface CD45 and CD38. To our knowledge, primary PCL presenting with progressive paraplegia has not been reported in the literature.
first_indexed 2025-11-14T14:45:48Z
format Article
id iium-12330
institution International Islamic University Malaysia
institution_category Local University
language English
last_indexed 2025-11-14T14:45:48Z
publishDate 2009
publisher Southern Medical Association
recordtype eprints
repository_type Digital Repository
spelling iium-123302011-12-27T23:06:44Z http://irep.iium.edu.my/12330/ Primary plasma cell leukemia presented as progressive paraplegia: a case report Hasmoni, Mohamed Hadzri Abdul Wahid, Fadilah Cheong, Soon Keng RC254 Neoplasms. Tumors. Oncology (including Cancer) Plasma cell leukemia (PCL) is a rare plasma cell disorder. It is the leukemic variant of multiple myeloma. A 52-year-old man with an atypical presentation of primary plasma cell leukemia is reported. The patient presented with paraparesis which progressively worsened to paraplegia. MRI of the spine showed an extradural mass causing cord compression and multiple bony erosions from soft tissue masses. Peripheral blood film examination and bone marrow aspiration showed numerous plasmablasts. Atypical cells expressed surface and cytoplasmic lambda light chain on immunochemical studies, surface CD45 and CD38. To our knowledge, primary PCL presenting with progressive paraplegia has not been reported in the literature. Southern Medical Association 2009-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/12330/1/Primary_Plasma_Cell_Leukemia_Presented_as.33%5B1%5D.pdf Hasmoni, Mohamed Hadzri and Abdul Wahid, Fadilah and Cheong, Soon Keng (2009) Primary plasma cell leukemia presented as progressive paraplegia: a case report. Southern Medical Journal, 102 (1). pp. 101-103. ISSN 0038-4348 (P), 1541-8243 (O) http://journals.lww.com/smajournalonline/Fulltext/2009/01000/Primary_Plasma_Cell_Leukemia_Presented_as.33.aspx# 10.1097/SMJ.0b013e31818018c1
spellingShingle RC254 Neoplasms. Tumors. Oncology (including Cancer)
Hasmoni, Mohamed Hadzri
Abdul Wahid, Fadilah
Cheong, Soon Keng
Primary plasma cell leukemia presented as progressive paraplegia: a case report
title Primary plasma cell leukemia presented as progressive paraplegia: a case report
title_full Primary plasma cell leukemia presented as progressive paraplegia: a case report
title_fullStr Primary plasma cell leukemia presented as progressive paraplegia: a case report
title_full_unstemmed Primary plasma cell leukemia presented as progressive paraplegia: a case report
title_short Primary plasma cell leukemia presented as progressive paraplegia: a case report
title_sort primary plasma cell leukemia presented as progressive paraplegia: a case report
topic RC254 Neoplasms. Tumors. Oncology (including Cancer)
url http://irep.iium.edu.my/12330/
http://irep.iium.edu.my/12330/
http://irep.iium.edu.my/12330/
http://irep.iium.edu.my/12330/1/Primary_Plasma_Cell_Leukemia_Presented_as.33%5B1%5D.pdf