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Acute myeloid leukemia revealed with synchronous granulocytic sarcoma of the breast and spine: case report

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Author(s): Ben Youssef Y. | Gmidene A. | Ben Hassen I. | Bouabid Z. | Zahra K. | Zaier M. | Trimeche M. | Brahem N. | Sennana H. | Khelif A.

Journal: Clinical and Experimental Medical Sciences
ISSN 1314-7528

Volume: 1;
Issue: 2;
Start page: 49;
Date: 2013;
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Keywords: Acute myeloid leukemia | granulocytic sarcoma | chloroma | breast tumor | thoracic epidural tumor

ABSTRACT
Granulocytic sarcoma (GS) may occur in any anatomical site but simultaneousinvolvement of the breast and spine is rare. Here, we report a case of a 33 -year-old woman who presented with acute paraplegia and urinaryretention. The physical examination revealed a breast lump.A Magnetic Resonance Imaging of spinal cord showed a compressive mass inthe lumbosacral junction. The diagnosis of a metastatic breast cancer wassuspected. But a blood count showed a high number of white blood cells.Microscopic examination of a blood smear revealed peripheral blood blasts.Bone marrow aspirate and histology of the breast tissue confirmed thediagnosis of Acute Myeloid Leukemia with GS of the breast. Our patientreceived a radiation therapy for spinal cord compression than she was treatedwith chemotherapy but died five days after achieving it of a septic shock.This case report is a reminder of this peculiar sign of tumoral syndrome inacute myeloid leukemia. We also discuss treatment methods and analyze thedisease course.
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