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Japanese Journal of Clinical Oncology 31:86-88 (2001)
© 2001 Foundation for Promotion of Cancer Research

Facial Nerve Paralysis and Paraplegia as Presenting Symptoms of Acute Myeloid Leukemia

Bulent Eser1, Mustafa Cetin1, Olgun Kontas2, Ali Unal1, Ozlem Er1, Hasan Senol Coskun1 and Mustafa Altinbas1,+,§

Departments of 1Hematology–Oncology and 2Pathology, Erciyes University School of Medicine, Kayseri, Turkey

Granulocytic sarcoma is an extramedullary tumor associated with acute or chronic leukemias or myeloproliferative disorders. Rarely, the tumor may be seen before the diagnosis of leukemia. Symptomatic facial nerve paralysis and spinal cord invasion by granulocytic sarcomas are also relatively uncommon. We present here a 17-year-old-female patient who had facial nerve paralysis and paraplegia due to granulocytic sarcoma as the presenting symptoms of acute myeloid leukemia.

+ For reprints and all correspondence: Bulent Eser, Department of Hematology–Oncology, Erciyes University School of Medicine, 38039 Kayseri, Turkey. E-mail: beser@erciyes.edu.tr

§ Abbreviations: GS, granulocytic sarcoma; AML, acute myeloid leukemia; Th, thoracal; Hb, hemoglobin; WBC, white blood cell; MRI, magnetic resonance imaging; LCA, leukocyte common antigen; PAS, periodic acid–Schiff; FAB classification, French–American–British classification


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