Document Detail


Acute myeloid leukemia in a young girl presenting with mediastinal granulocytic sarcoma invading pericardium and causing superior vena cava syndrome.
MedLine Citation:
PMID:  19956024     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 1-year-4-month-old girl who presented with pericardial effusion and superior vena cava (SVC) syndrome caused by a mediastinal mass was later proved to be a case of acute myeloid leukemia (AML) with mixed-lineage leukemia-gene translocation. The unusual presentation and the giant blasts with basophilic vacuolated cytoplasm had led to initial misdiagnosis of mediastinal lymphoma. She developed progressive SVC syndrome, unresolved pericardial effusion, and extensive leukemia cutis after initial induction therapy. She died soon after second-course chemotherapy. To our knowledge, this is the first reported case of childhood acute myeloid leukemia presenting with mediastinal granulocytic sarcoma causing pericardium invasion and SVC syndrome.
Authors:
Ming-Horng Tsai; Chao-Ping Yang; Hung-Tao Chung; Lee-Yung Shih
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric hematology/oncology     Volume:  31     ISSN:  1536-3678     ISO Abbreviation:  J. Pediatr. Hematol. Oncol.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-03     Completed Date:  2010-01-07     Revised Date:  2011-10-06    
Medline Journal Info:
Nlm Unique ID:  9505928     Medline TA:  J Pediatr Hematol Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  980-2     Citation Subset:  IM    
Affiliation:
Division of Pediatric Hematology/Oncology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Antineoplastic Agents / therapeutic use
Diagnosis, Differential
Fatal Outcome
Female
Humans
Infant
Leukemia, Myeloid, Acute / drug therapy,  pathology*
Mediastinal Neoplasms / diagnosis*,  drug therapy
Pericardial Effusion / etiology
Pericardium / pathology*
Sarcoma, Myeloid / diagnosis*,  drug therapy
Superior Vena Cava Syndrome / diagnosis*
Chemical
Reg. No./Substance:
0/Antineoplastic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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