Epidural Granulocytic Sarcoma Causing Cord Compression at Thoracic Region in Acute Myelogenous Leukemia - A Case Report -

급성 골수성 백혈병에서 발생한 흉추부 경막외 과립구육종 - 증례보고 -

  • Park, Woo-Min (Department of Neurosurgery, Korea Cancer Center Hospital) ;
  • Jang, Jee-Soo (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Rhee, Chang-Hun (Department of Neurosurgery, Korea Cancer Center Hospital) ;
  • Gwak, Ho-Shin (Department of Neurosurgery, Korea Cancer Center Hospital) ;
  • Lee, Seung-Hoon (Department of Neurosurgery, Korea Cancer Center Hospital)
  • Received : 2000.07.03
  • Accepted : 2000.08.08
  • Published : 2000.11.28

Abstract

Granulocytic sarcomas are solid tumors resulting from the localized proliferation of myelogenous leukions cells. Epidural involvement of granulocytic sarcoma is very rare in acute myelogenous leukemia(AML). We report a patient with a thoracic epidural granulocytic sarcoma whose presentation with acute paraparesis led to the diagnosis of relapsing of alleged AML. Early recognition of the etiology of the paraparesis and treatment with emergency decompressive, laminectomy, radiation therapy and chemotherapy resulted in an excellent neurological and hematological outcome.

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