INTRODUCTION: Chloroma is an extramedullary solid tumor consisting of immature myeloid cells. CASE PRESENTATION: We report a patient with painless jaundice 6 years after allogeneic peripheral stem cell transplantation because of an acute myeloid leukemia leading us to the diagnosis of a chloroma of the pancreas as the first manifestation of a secondary host leukemia. DISCUSSION: A histological examination of unclear pancreatic tumors should be mandatory in patients with a history of leukemia. If surgical therapy is unavoidable because of stenosis symptoms or for histological proof, a resection should be avoided. CONCLUSION: Bypass surgery can ease the symptoms and it allows timely curative chemotherapy or stem cell transplantation.
INTRODUCTION: Chloroma is an extramedullary solid tumor consisting of immature myeloid cells. CASE PRESENTATION: We report a patient with painless jaundice 6 years after allogeneic peripheral stem cell transplantation because of an acute myeloid leukemia leading us to the diagnosis of a chloroma of the pancreas as the first manifestation of a secondary host leukemia. DISCUSSION: A histological examination of unclear pancreatic tumors should be mandatory in patients with a history of leukemia. If surgical therapy is unavoidable because of stenosis symptoms or for histological proof, a resection should be avoided. CONCLUSION: Bypass surgery can ease the symptoms and it allows timely curative chemotherapy or stem cell transplantation.
Authors: Andrew S Daly; Suzanne Kamel-Reid; Jeffrey H Lipton; Hans A Messner; Thomas L Kiss; Kathy Chun; Lambert Busque; Hong Chang Journal: Leuk Res Date: 2004-10 Impact factor: 3.156