Chronic Myeloid Leukemia: Chronic Phase Presenting as Extramedullary Presentation.

chronic myeloid leukemia chronic phase myeloid sarcoma parotid gland tyrosine kinase inhibitors (tkis) therapy

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 13 10 2022
accepted: 19 12 2022
entrez: 23 1 2023
pubmed: 24 1 2023
medline: 24 1 2023
Statut: epublish

Résumé

Chronic myeloid leukemia (CML) is a myeloproliferative disorder characterized by immature granulocytes in the peripheral blood and bone marrow. In 95% of cases, it is always associated with the presence of the Philadelphia chromosome, which is characterized by the presence of reciprocal translocation between chromosomes 9 and 22. However, 3.1-9.1% of patients also have an extramedullary proliferation of skin, lymph nodes, bone, or central nervous system (CNS), which could be either myeloid, lymphocytic, or mixed lineage in origin. An extramedullary myelogenous neoplasm termed myeloid sarcoma (MS) can originate from myeloblasts or immature myeloid cells. Due to the green, gross appearance caused by the myeloperoxidase enzyme in immature myeloid cells, it is also known as chloroma. According to WHO guidelines, it is a tumor composed of myeloid blasts, mature or immature. Here we report an old female patient with CML - chronic phase who came for imatinib therapy and presented as MS in the right parotid gland.

Identifiants

pubmed: 36686093
doi: 10.7759/cureus.32691
pmc: PMC9848683
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e32691

Informations de copyright

Copyright © 2022, Nanote et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Vedant A Nanote (VA)

Department of Primary Care & General Practice, Kazan State Medical University, Kazan, RUS.

Ojas A Mahajan (OA)

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Shilpa A Gaidhane (SA)

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Swapnil D Parve (SD)

Department of Primary Care & General Practice, Kazan State Medical University, Kazan, RUS.

Lalit Raut (L)

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Classifications MeSH