An Unusual Case of Vomiting Caused by Myeloid Sarcoma
| Autor: | Stuart Mellor, Ioannis Gkikas, Vivek Chand Goodoory, Fouad Sadik Saied Alani, Matthew Saxton, Ayub Ali Bin, Diana Triantafyllopoulou, Jagdish Adiyodi, Neil Sahasrabudhe, Hazel Cowburn |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Acute leukemia Unusual case business.industry medicine.disease Gastroenterology Atomic and Molecular Physics and Optics 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Weight loss 030220 oncology & carcinogenesis Internal medicine medicine.artery medicine Myeloid sarcoma Bone marrow disorder Vomiting Superior mesenteric artery Electrical and Electronic Engineering medicine.symptom business Myeloproliferative neoplasm |
| Zdroj: | Reports. 2:2 |
| ISSN: | 2571-841X |
| DOI: | 10.3390/reports2010002 |
| Popis: | Myeloid sarcoma is an extramedullary mass consisting of myeloblasts that may present simultaneously or precede a bone marrow disorder. It has been reported to occur without a known preexisting diagnosis of acute leukemia, myelodysplastic syndrome or a myeloproliferative neoplasm and this is known as primary myeloid sarcoma. Here, we report a case of an 80-year-old male who presented with intermittent vomiting and significant weight loss for 3 months. The imaging and histological findings were consistent with a mesenteric myeloid sarcoma encasing the coeliac trunk and superior mesenteric artery, abutting and obstructing the proximal small bowel, causing subacute bowel obstruction. Systemic chemotherapy with low dose cytarabine achieved a reduction in the size of myeloid sarcoma and improved patient’s symptomatology but unfortunately our patient succumbed to progression 11 months later. |
| Databáze: | OpenAIRE |
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