2002 Volume 14 Issue 2 Pages 117-120
The authors report a rare case of solitary myeloma of the scapula. The patient was a 52 year-old man who complained of pain of the left shoulder without other symptoms. Plain radiographs showed an osteolytic and “bubbly” lesion only in the coracoid process and glenoid of the scapula. Serologically, the monoclonal component of Ig-G was elevated in electrophoresis. The patient’s urine did not contain the Bence-Jones protein.Because a giant cell tumor and aneurysmal bone cyst were suspected before operation, the authors performed curettage and bone grafting in November, 2000. The histological diagnosis was myeloma. The patient was subsequently treated with radiotherapy and chemotherapy. In the 10 months after operation, pain of left shoulder disappeared. The patient retained full range of motion of the shoulder and has not shown signs local recurrence or multiple myeloma to date.