Global Spine J 2014; 04(02): 109-114
DOI: 10.1055/s-0033-1360724
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Multiple Myeloma-Associated Amyloidoma of the Sacrum: Case Report and Review of the Literature

F. M. Klenke
Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland
,
C. Wirtz
Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland
,
Y. Banz
Institute of Pathology, University of Bern, Bern, Switzerland
,
M. J. B. Keel
Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland
,
N. D. Klass
Department of Radiation Oncology, Inselspital, Bern University Hospital, Bern, Switzerland
,
U. Novak
Department of Medical Oncology, Inselspital, Bern University Hospital, Bern, Switzerland
,
L. M. Benneker
Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland
› Author Affiliations
Further Information

Publication History

25 June 2013

24 September 2013

Publication Date:
22 November 2013 (eFirst)

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Abstract

Study Design Case report.

Objectives With only two previously reported cases, localized amyloidosis of the sacrum is extremely rare. Here we report a 64-year-old woman with a large osteolytic lesion accompanied by weakness and paresthesia of the right leg and difficulties in bladder control.

Methods Fine needle biopsy and standard staging procedures revealed a primary solitary amyloidoma that was treated with intralesional resection, lumbopelvic stabilization, and consolidation radiotherapy.

Results Clinical follow-up revealed the diagnosis of multiple myeloma 9 months after initial treatment. At 12 months, no local recurrence has occurred, the neurologic symptoms have resolved, and the systemic disease is in remission.

Conclusions Intralesional resection with adjuvant radiotherapy of the amyloidoma achieved good local tumor control with limited morbidity.

Keywords

amyloidosis - multiple myeloma - radiation - sacrum - surgical treatment - tumor

Disclosures

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers' bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or nonfinancial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript. No funding was received for the study.