Nonleukemic Ureteral Granulocytic Sarcoma Presenting with Unilateral Urinary Obstruction and Hematuria
Granulocytic sarcoma is an extramedullary tumor which is composed of myeloblasts and immature myeloid cells. It usually occurs in association with acute myeloid leukemia and most commonly involves skin, soft tissue, lymph nodes, bone, and periosteum. We report a case of isolated ureteral granulocyti...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2013/861232 |
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| author | Ömer Acar Tarık Esen Tülay Tecimer Mustafa Çetiner Önder Peker Ahmet Musaoğlu |
| author_facet | Ömer Acar Tarık Esen Tülay Tecimer Mustafa Çetiner Önder Peker Ahmet Musaoğlu |
| author_sort | Ömer Acar |
| collection | DOAJ |
| description | Granulocytic sarcoma is an extramedullary tumor which is composed of myeloblasts and immature myeloid cells. It usually occurs in association with acute myeloid leukemia and most commonly involves skin, soft tissue, lymph nodes, bone, and periosteum. We report a case of isolated ureteral granulocytic sarcoma without hematologic manifestations. Our patient presented with bloody urine and left-sided lumbar pain. Preoperative clinical and radiologic features raised the suspicion of an upper urinary tract transitional cell carcinoma, and he was scheduled for nephroureterectomy. However, perioperative pathologic feedback and the unusual endoscopic appearance of the tumor altered our surgical strategy towards segmental ureterectomy and ureteroneocystostomy. Eventual pathologic diagnosis was granulocytic sarcoma of the ureter. Postoperative workup failed to demonstrate any sign of an accompanying hematologic disorder. He started receiving the chemotherapy protocol of acute myeloblastic leukemia. To our knowledge, this is the first documented case of nonleukemic ureteral granulocytic sarcoma which came to attention due to urologic complaints. |
| format | Article |
| id | doaj-art-55a88546dbb54fb988a1d645cd949e74 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-55a88546dbb54fb988a1d645cd949e742025-02-03T01:09:42ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/861232861232Nonleukemic Ureteral Granulocytic Sarcoma Presenting with Unilateral Urinary Obstruction and HematuriaÖmer Acar0Tarık Esen1Tülay Tecimer2Mustafa Çetiner3Önder Peker4Ahmet Musaoğlu5Department of Urology, VKF American Hospital, Istanbul, TurkeyDepartment of Urology, VKF American Hospital, Istanbul, TurkeyDepartment of Pathology, VKF American Hospital, Istanbul, TurkeySchool of Medicine, Koc University, Istanbul, TurkeyDepartment of Pathology, VKF American Hospital, Istanbul, TurkeyDepartment of Urology, VKF American Hospital, Istanbul, TurkeyGranulocytic sarcoma is an extramedullary tumor which is composed of myeloblasts and immature myeloid cells. It usually occurs in association with acute myeloid leukemia and most commonly involves skin, soft tissue, lymph nodes, bone, and periosteum. We report a case of isolated ureteral granulocytic sarcoma without hematologic manifestations. Our patient presented with bloody urine and left-sided lumbar pain. Preoperative clinical and radiologic features raised the suspicion of an upper urinary tract transitional cell carcinoma, and he was scheduled for nephroureterectomy. However, perioperative pathologic feedback and the unusual endoscopic appearance of the tumor altered our surgical strategy towards segmental ureterectomy and ureteroneocystostomy. Eventual pathologic diagnosis was granulocytic sarcoma of the ureter. Postoperative workup failed to demonstrate any sign of an accompanying hematologic disorder. He started receiving the chemotherapy protocol of acute myeloblastic leukemia. To our knowledge, this is the first documented case of nonleukemic ureteral granulocytic sarcoma which came to attention due to urologic complaints.http://dx.doi.org/10.1155/2013/861232 |
| spellingShingle | Ömer Acar Tarık Esen Tülay Tecimer Mustafa Çetiner Önder Peker Ahmet Musaoğlu Nonleukemic Ureteral Granulocytic Sarcoma Presenting with Unilateral Urinary Obstruction and Hematuria Case Reports in Urology |
| title | Nonleukemic Ureteral Granulocytic Sarcoma Presenting with Unilateral Urinary Obstruction and Hematuria |
| title_full | Nonleukemic Ureteral Granulocytic Sarcoma Presenting with Unilateral Urinary Obstruction and Hematuria |
| title_fullStr | Nonleukemic Ureteral Granulocytic Sarcoma Presenting with Unilateral Urinary Obstruction and Hematuria |
| title_full_unstemmed | Nonleukemic Ureteral Granulocytic Sarcoma Presenting with Unilateral Urinary Obstruction and Hematuria |
| title_short | Nonleukemic Ureteral Granulocytic Sarcoma Presenting with Unilateral Urinary Obstruction and Hematuria |
| title_sort | nonleukemic ureteral granulocytic sarcoma presenting with unilateral urinary obstruction and hematuria |
| url | http://dx.doi.org/10.1155/2013/861232 |
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