Granulocytic sarcoma presenting as a bone tumor

ABSTRACT

Granulocytic sarcomas [chloromas] are very rare tumors that occur outside hematopoietic areas, it consists of primitive granulocytic cells. They arise de novo, or may be associated with other hematologic disorders such as acute myeloid leukemia, myelodysplastic syndrome, or myeloproliferative disorders. We report here a case of a 32-year-old man who presented with drowsiness, paraplegia, fever and bone pains for the last 3 months. There was equivocal evidence for caries spine in clinical history, examination and upon routine investigations. X-rays and MRI spine showed anterior wedge fractures of D[10] and L[1]. Technetium bone scan pointed to hot areas in the pelvis and spine. The biopsy taken from right Iliac crest showed it to be a granulocytic sarcoma. Bone marrow examination showed a normal picture