According to the result of the bone marrow test, the probability that cardiac masses are the chloroma
resulting from AML was at the helm of differential diagnosis proposed.
Based on the MRI findings, the authors suggested the diagnosis of chloroma
. The chest X-ray was normal.
When leukemias form a mass at extramedullary sites (myeloid sarcoma), the high content in myeloperoxidase of the neoplastic myeloid cells gives these tumors a yellow-green hue, hence, the name chloromas
(Figure 8, Q).
The excisional biopsy of right cervical lymph node, meanwhile, confirmed myeloid sarcoma or chloroma
with immunophenotyping revealing 32% blasts displaying myeloid-associated antigen expression and aberrant expression of CD5, CD7, and CD 117 (Figure 4).
Romaniuk, "Case report: granulocytic sarcoma (chloroma
) presenting as a cerebellopontine angle mass," Clinical Radiology, vol.
Myeloid sarcomas, initially named chloromas
because of their green color, were first described by Allen Burns in 1811 and later associated with AML by George Dock in 1895.
Myeloid leukemia and myelodysplastic syndrome relapsing as granulocytic sarcoma(chloroma
) after allogeneic bone marrow transplantation.
Autopsy study of granulocytic sarcoma (chloroma
) in patients with myelogenous leukemia, HiroshimaNagasaki 1949-1969.
Granulocytic sarcoma (Chloroma
): Imaging findings in adults and children.
Key Words: Myeloid sarcoma, Promyelocytic leukemia, Cord compression, Chloroma
Children may present with life-threatening infections, granulocytic granuloma or chloroma
(most commonly orbital) and/or gum infiltration (Fig.