Granulocytic sarcoma presenting as an epidural mass with cord compression.

Abstract:

:Granulocytic sarcoma (GS) usually occurs during the course of, or as a presenting sign of myelogenous leukemia. Rarely it is found before peripheral blood or bone marrow evidence of leukemia is present. We describe a man who presented with low back pain and lower extremity weakness. He had spinal cord compression due to GS without evidence of leukemia. Only four such instances have been previously reported. Such aleukemic presentations of GS are frequently misdiagnosed. The chloroacetate esterase stain and electron microscopy are useful in demonstrating the myeloid origin of GS cells. GS lesions are probably best treated by localized radiation therapy and systemic chemotherapy.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Ripp DJ,Davis JW,Rengachary SS,Lotuaco LG,Watanabe IS

doi

10.1227/00006123-198901000-00024

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

125-8

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

24

pub_type

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