Promyelocytic Sarcoma of the Spine: A Case Report and Review of the Literature

Myeloid sarcoma (MS, previously named granulocytic sarcoma or chloroma) is a rare extramedullary tumour of immature myeloid cells. It can be present before, concurrently with, or after the diagnosis of acute myeloid leukemia. MS is extremely uncommon in acute promyelocytic leukemia (APL). In the cas...

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Main Authors: Leonardo Pacilli, Francesco Lo Coco, Safaa Mahmoud Ramadan, Laura Giannì, Alberto Pingi, Daniele Remotti, Ignazio Majolino
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2010/137608
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author Leonardo Pacilli
Francesco Lo Coco
Safaa Mahmoud Ramadan
Laura Giannì
Alberto Pingi
Daniele Remotti
Ignazio Majolino
author_facet Leonardo Pacilli
Francesco Lo Coco
Safaa Mahmoud Ramadan
Laura Giannì
Alberto Pingi
Daniele Remotti
Ignazio Majolino
author_sort Leonardo Pacilli
collection DOAJ
description Myeloid sarcoma (MS, previously named granulocytic sarcoma or chloroma) is a rare extramedullary tumour of immature myeloid cells. It can be present before, concurrently with, or after the diagnosis of acute myeloid leukemia. MS is extremely uncommon in acute promyelocytic leukemia (APL). In the case described here, MS was the sole site of APL relapse and the cause of spinal cord compression. The patient presented with neurologic symptoms due to a paravertebral mass of MS after 7 years of complete remission. He was treated with excision of the mass followed by local radiotherapy. Systemic treatment was also given with combined arsenic trioxide and all-trans retinoic acid and the patient was able to achieve a second prolonged clinical and molecular remission.
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institution Kabale University
issn 1687-9104
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series Advances in Hematology
spelling doaj-art-ae0a14c271eb4d5f92c219cbb0f0beb52025-02-03T01:06:13ZengWileyAdvances in Hematology1687-91041687-91122010-01-01201010.1155/2010/137608137608Promyelocytic Sarcoma of the Spine: A Case Report and Review of the LiteratureLeonardo Pacilli0Francesco Lo Coco1Safaa Mahmoud Ramadan2Laura Giannì3Alberto Pingi4Daniele Remotti5Ignazio Majolino6Hematology and BMT Unit, Institute of Hematotherapy, Ospedale S. Camillo, 00153 Rome, ItalyDepartment of Biopathology, Tor Vergata University, 00133 Rome, ItalyDepartment of Biopathology, Tor Vergata University, 00133 Rome, ItalyDepartment of Biopathology, Tor Vergata University, 00133 Rome, ItalyHematology and BMT Unit, Institute of Hematotherapy, Ospedale S. Camillo, 00153 Rome, ItalyHematology and BMT Unit, Institute of Hematotherapy, Ospedale S. Camillo, 00153 Rome, ItalyHematology and BMT Unit, Institute of Hematotherapy, Ospedale S. Camillo, 00153 Rome, ItalyMyeloid sarcoma (MS, previously named granulocytic sarcoma or chloroma) is a rare extramedullary tumour of immature myeloid cells. It can be present before, concurrently with, or after the diagnosis of acute myeloid leukemia. MS is extremely uncommon in acute promyelocytic leukemia (APL). In the case described here, MS was the sole site of APL relapse and the cause of spinal cord compression. The patient presented with neurologic symptoms due to a paravertebral mass of MS after 7 years of complete remission. He was treated with excision of the mass followed by local radiotherapy. Systemic treatment was also given with combined arsenic trioxide and all-trans retinoic acid and the patient was able to achieve a second prolonged clinical and molecular remission.http://dx.doi.org/10.1155/2010/137608
spellingShingle Leonardo Pacilli
Francesco Lo Coco
Safaa Mahmoud Ramadan
Laura Giannì
Alberto Pingi
Daniele Remotti
Ignazio Majolino
Promyelocytic Sarcoma of the Spine: A Case Report and Review of the Literature
Advances in Hematology
title Promyelocytic Sarcoma of the Spine: A Case Report and Review of the Literature
title_full Promyelocytic Sarcoma of the Spine: A Case Report and Review of the Literature
title_fullStr Promyelocytic Sarcoma of the Spine: A Case Report and Review of the Literature
title_full_unstemmed Promyelocytic Sarcoma of the Spine: A Case Report and Review of the Literature
title_short Promyelocytic Sarcoma of the Spine: A Case Report and Review of the Literature
title_sort promyelocytic sarcoma of the spine a case report and review of the literature
url http://dx.doi.org/10.1155/2010/137608
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