Acute Myeloid Leukemia Presenting as Myeloid Sarcoma with a Predisposition to the Gynecologic Tract

Myeloid sarcoma (MS) is a rare, extramedullary tumor consisting of immature white blood cells of myeloid lineage. MS is usually associated with the concurrent diagnosis of acute myeloid leukemia (AML) but can also present in the absence of bone marrow disease or at relapse of AML. MS of the gynecolo...

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Main Authors: Ryan M. Kahn, Sushmita Gordhandas, Eloise Chapman-Davis, Elizabeth Margolskee, Cathleen Matrai, Amy Chadburn, Ellen Ritchie
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2019/4189275
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author Ryan M. Kahn
Sushmita Gordhandas
Eloise Chapman-Davis
Elizabeth Margolskee
Cathleen Matrai
Amy Chadburn
Ellen Ritchie
author_facet Ryan M. Kahn
Sushmita Gordhandas
Eloise Chapman-Davis
Elizabeth Margolskee
Cathleen Matrai
Amy Chadburn
Ellen Ritchie
author_sort Ryan M. Kahn
collection DOAJ
description Myeloid sarcoma (MS) is a rare, extramedullary tumor consisting of immature white blood cells of myeloid lineage. MS is usually associated with the concurrent diagnosis of acute myeloid leukemia (AML) but can also present in the absence of bone marrow disease or at relapse of AML. MS of the gynecologic tract is exceedingly rare; however, it is hypothesized that it is likely more prevalent than previously understood given postmortem findings and persistence in preserved ovarian tissue. There is minimal literature surrounding MS and extramedullary relapse with no clear guidelines. This is a case report of a 48-year-old woman with MS involving the uterine corpus, fallopian tubes, and left ovary followed by a literature review. The overall aim is to review data regarding leukemic immune evasion and sanctuary sites in order to raise awareness as this represents an important and underrecognized hematologic malignancy in an often misdiagnosed, underrecognized site.
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series Case Reports in Oncological Medicine
spelling doaj-art-6bc8ab1f08c44bc6921dcf5d227c8b122025-02-03T01:03:36ZengWileyCase Reports in Oncological Medicine2090-67062090-67142019-01-01201910.1155/2019/41892754189275Acute Myeloid Leukemia Presenting as Myeloid Sarcoma with a Predisposition to the Gynecologic TractRyan M. Kahn0Sushmita Gordhandas1Eloise Chapman-Davis2Elizabeth Margolskee3Cathleen Matrai4Amy Chadburn5Ellen Ritchie6Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USADepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USADepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, Weill Cornell Medical College-New York Presbyterian Hospital, New York, NY 10065, USADepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College-New York Presbyterian Hospital, New York, NY, USADepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College-New York Presbyterian Hospital, New York, NY, USADepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College-New York Presbyterian Hospital, New York, NY, USADivision of Hematology and Oncology, Weill Cornell Medical College, New York, NY, USAMyeloid sarcoma (MS) is a rare, extramedullary tumor consisting of immature white blood cells of myeloid lineage. MS is usually associated with the concurrent diagnosis of acute myeloid leukemia (AML) but can also present in the absence of bone marrow disease or at relapse of AML. MS of the gynecologic tract is exceedingly rare; however, it is hypothesized that it is likely more prevalent than previously understood given postmortem findings and persistence in preserved ovarian tissue. There is minimal literature surrounding MS and extramedullary relapse with no clear guidelines. This is a case report of a 48-year-old woman with MS involving the uterine corpus, fallopian tubes, and left ovary followed by a literature review. The overall aim is to review data regarding leukemic immune evasion and sanctuary sites in order to raise awareness as this represents an important and underrecognized hematologic malignancy in an often misdiagnosed, underrecognized site.http://dx.doi.org/10.1155/2019/4189275
spellingShingle Ryan M. Kahn
Sushmita Gordhandas
Eloise Chapman-Davis
Elizabeth Margolskee
Cathleen Matrai
Amy Chadburn
Ellen Ritchie
Acute Myeloid Leukemia Presenting as Myeloid Sarcoma with a Predisposition to the Gynecologic Tract
Case Reports in Oncological Medicine
title Acute Myeloid Leukemia Presenting as Myeloid Sarcoma with a Predisposition to the Gynecologic Tract
title_full Acute Myeloid Leukemia Presenting as Myeloid Sarcoma with a Predisposition to the Gynecologic Tract
title_fullStr Acute Myeloid Leukemia Presenting as Myeloid Sarcoma with a Predisposition to the Gynecologic Tract
title_full_unstemmed Acute Myeloid Leukemia Presenting as Myeloid Sarcoma with a Predisposition to the Gynecologic Tract
title_short Acute Myeloid Leukemia Presenting as Myeloid Sarcoma with a Predisposition to the Gynecologic Tract
title_sort acute myeloid leukemia presenting as myeloid sarcoma with a predisposition to the gynecologic tract
url http://dx.doi.org/10.1155/2019/4189275
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