Solitary Bone Plasmacytoma: A Case Report from a Private Specialist Referral Centre in Port Harcourt

Introduction: Multiple myeloma is uncommon in Nigeria with about 10% of cases presenting with paraplegia. The aim of this study was to provide a description of a case report of spinal myeloma seen and treated at a private specialist referral hospital in Port Harcourt from 2016 to 2023.

Case Presentation: A 56-year-old male professional diver presented in 2016 with complaint of progressive low back pain of two years duration of insidious-onset and associated with paraparesis. Physical examination and laboratory investigation findings were in-keeping with a diagnosis of solitary bone plasmacytoma of the spine. Patient responded well to novel systemic chemotherapy 
and has been on out-patient follow-up.

Conclusion: Plasmacytoma can occur in any part of the body, and spinal plasmacytoma affecting the spine can cause paraparesis. Prompt diagnosis and appropriate treatment can improve disease free survival, and use of novel systemic chemotherapy is a viable option.