Liquid Presenting as Solid: A Rare Presentation of Acute Myeloid Leukaemia as a Solid Epidural Mass
  • Varsha Gupta
    Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ, USA
  • Firas Ajam
    Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ, USA
  • Gabriella Conte
    Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ, USA
  • Alsadiq Al Hillan
    Department of Medicine, Jersey Shore University Medical Center, Neptune, NJ, USA
  • Kadhim Al-Banaa
    Department of Medicine, Beaumont Hospital, Dearborn, MI, USA
  • Vinit Singh
    Department of Internal Medicine, Section of Medical Oncology, Yale School of Medicine, CT, USA
  • Michael Levitt
    Division of Hematology and Oncology, Jersey Shore University Medical Center, Neptune, NJ, USA


Central nervous system-myeloid sarcoma, chloroma, granulocytic sarcoma, acute myeloid leukaemia


Myeloid sarcoma (MS) is a very rare malignant tumour composed of myeloblasts. It most commonly involves soft tissue, bone, periosteum and lymph nodes, but unusual presentation sites have also been reported. Typically, MS evolves concurrently with active leukaemia or following remission, when it is known as secondary MS. But rarely MS can occur de novo without evidence of concomitant haematological disease. Herein, we report an unusual case of central nervous system-MS in a patient without evidence of concomitant haematological disease. In this case, progressive thoracic and lumbar pain with paraplegia ultimately led to the diagnosis of acute myeloid leukaemia. We also conducted a PubMed search for case reports, case series and reviews of past literature regarding central nervous system-MS and report our findings.



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    Published: 2020-09-08
    Issue: 2020: Vol 7 No 11 (view)

    How to cite:
    Gupta V, Ajam F, Conte G, Al Hillan A, Al-Banaa K, Singh V, Levitt M. Liquid Presenting as Solid: A Rare Presentation of Acute Myeloid Leukaemia as a Solid Epidural Mass. EJCRIM 2020;7 doi:10.12890/2020_001802.