Solitary Sternal Plasmacytoma: A Case Report And Current Review

A 74-year-old male presented with localised lower sternal discomfort. Initially investigated for ischaemic heart disease, the patient was finally diagnosed with a sternal tumour. He subsequently underwent primary surgical excision and histopathological findings were consistent with a solitary plasmacytoma. We discuss the difficulty in diagnosing solitary plasmacytomas, as they may be subtle presentations of multiple myeloma. Therapeutic challenges also exist with radiotherapy and surgery alone or in combination offering good results.