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Low back pain (LBP) is a common presentation in patients with multiple myeloma. However, LBP that is increased or unrelieved by rest may indicate for malignancy and a patient's young age may mislead and delay diagnosis. Here, we presented a 43 year-old-female who complained of low back pain with radiation to left buttock. The symptom got worsen at night and not improved after took nonsteroidal anti-inflammatory medication. X-ray of lumbarsacral spine revealed ostelytic lesion over sacral bone. Magnetic resonance (MR) imaging studies of lumbarsacral spine showed an infiltrative tumor involving the left-sided sacral bone. Accordingly, left sacral laminectomy with removal of tumor was performed and pathological result revealed plasmacytoma. In addition, bone marrow biopsy demonstrated increased plasma cells with 35% of all nucleated cells. The final diagnosis was multiple myeloma.
www.omicsonline.org/open-access/low-back-pain-radiating-to-the-left-buttock-as-a-form-of-onset-of-multiple-myeloma-a-rare-case-report-2332-0737-1000119.phpCitation: Jang-Chun L, Jo-Ting T, Hsin-I M, Wei-Hsiu L (2015) Low Back Pain Radiating to the Left Buttock as a Form of Onset of Multiple Myeloma: A Rare Case Report. Curr Synthetic Sys Biol 3:119. doi: 10.4172/2332-0737.1000119 https://www.omicsonline.org/open-access/low-back-pain-radiating-to-the-left-buttock-as-a-form-of-onset-of-multiple-myeloma-a-rare-case-report-2332-0737-1000119.php?aid=51046
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