Purpose: To describe an adolescent with solitary plasmocytoma of bone and c
ompare the pathologic and radiographic findings with osteomyelitis.
Patient and Methods: A 17-year-old girl had a 3-year history of swelling of
the right tibia, local pain, and hyperemia.
Results: initial biopsy was interpreted as osteomyelitis. The lesion was re
biopsied 3 years later and showed a plasma cell neoplasm. A review of the f
irst biopsy confirmed a similar histologic picture.
Conclusion: Although solitary plasmocytoma of bone is a ran neoplasm in ado
lescence, it must be considered in the differential diagnosis of chronic os
teomyelitis.