An Autopsy Case of Chloroma Complicated by Spinal Transverse Lesion

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In Japan, we can rarely find chloroma which is a kind of acute leukemia and which is characterized by the forming of green tumor and the greening of general tissue.This paper reports an autopsy case of chloroma complicated by spinal transverse lesion which we recently experienced.A fisherman of 69 years old was admitted to our clinic with complaints of paresthesia of the both lower extremities and the hindrance of motility. After admission, his condition became worse and he developed complete anesthesia of the lower part of the body and inability of walking due to spinal transverse lesion. With a diagnosis of spinal transverse lesion, we performed the extirpation of the tumor. The green tumors were seen in the epidural space. He was getting better after operation but three months after the operation, he again became serious and leukemia cell appeared. With a diagnosis of chloroma, we performed the treatment of leukemia but he died six months after onset.At autopsy, green infiltration of leukemia was observed in general tissue. The marrows of thoracic vertebra, collor bone, rib, ilium and etc. were filled with green pussy tissues and proliferation overran outside the bone substance.
西日本整形・災害外科学会の論文