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Internal medicine journal · Jun 2022
Case ReportsUnusual presentations of central nervous system myeloid sarcoma.
- Sophie Chatterton, Jacob Helou, James Drummond, Anthony J Gill, Christopher Ward, Luke Coyle, Ian Kerridge, and Karl Ng.
- Department of Neurology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
- Intern Med J. 2022 Jun 1; 52 (6): 1083-1088.
AbstractMyeloid sarcoma (MS), also termed 'chloroma' or 'granulocytic sarcoma', is a tumour mass consisting of myeloid blasts occurring at an anatomical site other than the bone marrow. MS occurs in up to 8% of patients with acute myeloid leukaemia. While MS typically involves the skin or lymph nodes, almost any tissue can be affected, and symptoms largely depend on the organ involved and subsequent mass effect. We present a case series of patients that presented to a tertiary hospital with MS affecting the central nervous system over a 4-month period. These three cases demonstrate the vast spectrum of clinical presentations of MS and, furthermore, show rare examples of intramedullary spinal cord involvement and disseminated intraparenchymal brain disease.© 2022 Royal Australasian College of Physicians.
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