Promyelocytic Sarcoma of the Spine: A Case Report and Review of the Literature. (1st March 2010)

• Record Type: Journal Article
• Authors: Pacilli, Leonardo; Lo Coco, Francesco; Ramadan, Safaa Mahmoud; Giannì, Laura; Pingi, Alberto; Remotti, Daniele; Majolino, Ignazio
• Other Names: Faderl Stefan Academic Editor.
• Is Part Of: Advances in hematology. Volume 2009(2009)
• Publication Date: 2010-03-01
• Subjects: Hematology -- Periodicals; Hematologic Diseases; Hematology; Hematology; Periodicals; Periodicals; 616.15
• DOI: 10.1155/2010/137608
• Languages: English
• ISSNs: 1687-9104

Abstract

Abstract : 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.