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Case Report
Journal of Korean Neurosurgical Society 1998;27(7): 981-984.
A Case of Spinal Epidural Granulocytic Sarcoma with Acute Paraparesis: A Case Report.
Bong Hoon Lee, Jang Ho Bae, Sung Ho Kim, Oh Lyong Kim, Byung Yon Choi, Soo Ho Cho
Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
ABSTRACT
A rare case of spinal epidural granulocytic sarcoma preceding acute myelogenous leukemia is described. A 21 years old female patient was presented with acute paraparesis. An emergency decompressive laminectomy with removal of mass was performed. The final pathological diagnosis was granulocytic sarcoma. Her neurological symptoms and signs were improved after operation. This rare tumor should be considered in the differential diagnosis of an epidural mass with cord compression in patients with or without acute leukemia, because early diagnosis followed by appropriate combined chemotherapy and radiation may obviate surgical intervention and eventually prevent leukemic transformation.
Key Words: Spinal epidural granulocytic sarcoma; Cord compression; Acute myelogenous leukemia.
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