Granulocytic Sarcoma with Orbit, Cauda Equina, Muscle and Peripheral Nerve Extension but without Bone Marrow Involvement
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概要
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We report a very rare case of granulocytic sarcoma (GS) with muscle and peripheral nerve extension but without bone marrow involvement. A 53-year-old woman presented with sciatic pain and diplopia. Magnetic resonance imaging revealed bilateral orbital and cauda equina region tumors. The blood cell count, and bone marrow histology and cytology were normal. The characteristic cerebrospinal fluid (CSF) cytologic picture of CD14+, CD33+, CD4+, CD56+ and positive nonspecific erastase staining suggested the diagnosis of GS. The patient underwent intrathecal and systemic chemotherapy, as if she had acute myeloid leukemia (AML). This case emphasizes the value of CSF cytological examination and the use of an immunocytochemical marker.
- 社団法人 日本内科学会の論文
著者
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SUNAMI Kazutaka
Department of Internal Medicine, National Hospital Organization Okayama Medical Center
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Sunami Kazutaka
Department Of Hematology National Hospital Organization Okayama Medical Center
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HAMAKAWA Yoshiyuki
Department of Neurology, National Hospital Organization Okayama Medical Center
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OMORI Nobuhiko
Department of Neurology, National Hospital Organization Okayama Medical Center
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Abe Koji
Department Of Applied Chemistry Graduate School Of Engineering Tohoku University
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Manabe Yasuhiro
Department Of Neurology Graduate School Of Medicine And Dentistry Okayama Univeristy
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Ohta Yasuyuki
Department of Electrical Engineering, Faculty of Engineering, Nagaoka University of Technology, 1603-1 Kamitomioka, Nagaoka, Niigata 940-2188, Japan
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Ohta Yasuyuki
Department of Neurology, Graduate School of Medicine and Dentistry, Okayama University
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