Isolated meningeal chloroma (granulocytic sarcoma) - a case report and review of the literature

被引:37
作者
Binder, C
Tiemann, M
Haase, D
Humpe, A
Kneba, M
机构
[1] Univ Gottingen, Dept Hematol & Oncol, D-37075 Gottingen, Germany
[2] Univ Kiel, Inst Hematopathol, Kiel, Germany
[3] Univ Kiel, Med Clin 2, Kiel, Germany
关键词
chloroma; acute myeloblastic leukemia; chemotherapy; autologous stem cell transplantation;
D O I
10.1007/s002770000165
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Isolated chloromas (granulocytic sarcomas) are rare tumors, most of them progressing to acute myeloblastic leukemia within months. There are still no conclusive treatment strategies for this entity; however, early antileukemic chemotherapy seems to lower the probability of developing systemic disease and prolong survival. We report on a patient with isolated meningeal chloroma, primarily misdiagnosed as a high-grade Non-Hodgkin's lymphoma. Two cycles of antileukemic induction chemotherapy were administered, followed by local irradiation and intensified consolidation therapy with autologous stem cell transplantation. After 20 months, he is still in complete remission.
引用
收藏
页码:459 / 462
页数:4
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