Quick Case: Incidental myeloid sarcoma in a young male

A 24-year-old, otherwise healthy male presented with numbness and pain in both lower limbs for the past two months. MRI revealed three well-defined hyper-intense areas, measuring 1.5 to 2.8 cm diameter in the L2 vertebral body and bilateral ilium. CT-guided FNAC revealed sheets of immature hematopoietic cells with granulocytic maturation, consistent with myeloid sarcoma. Initially the patient had normal blood counts, but within 3 months of the FNAC diagnosis, he developed acute myeloid leukemia (AML- FAB M2).
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Learning Points/Take Home Messages

Tissue diagnosis by FNAC or biopsy should be exercised as a routine in spinal diseases!

About The Author

Dr. Samanta, MBBS, MD is currently a consultant at Suraksha diagnostic PVT. LTD. Kolkata, India for histopath, cytopath and hematology. His other interests are: oncopathology, bone marrow and neuropathology.



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