Isolated myeloid sarcoma presenting with small bowel obstruction: a case report

Abstract Background Myeloid sarcoma (MS) is a solid tumor consisting of myeloid blasts or immature myeloid cells, which are unusual outside the bone marrow. Case presentation We present a rare case of isolated myeloid sarcoma of the small bowel in a 54-year-old man who was admitted to our hospital w...

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Main Authors: Rie Mizumoto, Masanori Tsujie, Tomoko Wakasa, Kotaro Kitani, Hironobu Manabe, Shuichi Fukuda, Kaoru Okada, Shumpei Satoi, Hajime Ishikawa, Toshihiko Kawasaki, Hitoshi Hanamoto, Masao Yukawa, Masatoshi Inoue
Format: Article
Language:English
Published: Japan Surgical Society 2020-01-01
Series:Surgical Case Reports
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Online Access:https://doi.org/10.1186/s40792-019-0759-6
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author Rie Mizumoto
Masanori Tsujie
Tomoko Wakasa
Kotaro Kitani
Hironobu Manabe
Shuichi Fukuda
Kaoru Okada
Shumpei Satoi
Hajime Ishikawa
Toshihiko Kawasaki
Hitoshi Hanamoto
Masao Yukawa
Masatoshi Inoue
author_facet Rie Mizumoto
Masanori Tsujie
Tomoko Wakasa
Kotaro Kitani
Hironobu Manabe
Shuichi Fukuda
Kaoru Okada
Shumpei Satoi
Hajime Ishikawa
Toshihiko Kawasaki
Hitoshi Hanamoto
Masao Yukawa
Masatoshi Inoue
author_sort Rie Mizumoto
collection DOAJ
description Abstract Background Myeloid sarcoma (MS) is a solid tumor consisting of myeloid blasts or immature myeloid cells, which are unusual outside the bone marrow. Case presentation We present a rare case of isolated myeloid sarcoma of the small bowel in a 54-year-old man who was admitted to our hospital with repeated symptoms of intestinal obstruction. A small bowel series via an ileus tube revealed severe jejunal obstruction. Computed tomography revealed that the obstruction was likely caused by a jejunal tumor. The patient underwent laparoscopy-assisted partial resection of the jejunum with lymphadenectomy. Histopathological examination of the surgical specimen confirmed that MS had been responsible for the obstruction. Conclusions Patients with MS require systemic chemotherapy, as do patients with acute myeloid leukemia. Hence, an early, accurate diagnosis is imperative for treating this malignancy. It is also important to list MS in the differential diagnosis of a small bowel tumor, even in nonleukemic patients.
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institution Kabale University
issn 2198-7793
language English
publishDate 2020-01-01
publisher Japan Surgical Society
record_format Article
series Surgical Case Reports
spelling doaj-art-34a093408f5a42909543d24df1b46a652025-08-20T03:32:57ZengJapan Surgical SocietySurgical Case Reports2198-77932020-01-01611610.1186/s40792-019-0759-6Isolated myeloid sarcoma presenting with small bowel obstruction: a case reportRie Mizumoto0Masanori Tsujie1Tomoko Wakasa2Kotaro Kitani3Hironobu Manabe4Shuichi Fukuda5Kaoru Okada6Shumpei Satoi7Hajime Ishikawa8Toshihiko Kawasaki9Hitoshi Hanamoto10Masao Yukawa11Masatoshi Inoue12Department of Surgery, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalDepartment of Pathology and Laboratory Medicine, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalDepartment of Gastroenterology and Hepatology, Kindai University Nara HospitalDepartment of Hematology, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalDepartment of Surgery, Kindai University Nara HospitalAbstract Background Myeloid sarcoma (MS) is a solid tumor consisting of myeloid blasts or immature myeloid cells, which are unusual outside the bone marrow. Case presentation We present a rare case of isolated myeloid sarcoma of the small bowel in a 54-year-old man who was admitted to our hospital with repeated symptoms of intestinal obstruction. A small bowel series via an ileus tube revealed severe jejunal obstruction. Computed tomography revealed that the obstruction was likely caused by a jejunal tumor. The patient underwent laparoscopy-assisted partial resection of the jejunum with lymphadenectomy. Histopathological examination of the surgical specimen confirmed that MS had been responsible for the obstruction. Conclusions Patients with MS require systemic chemotherapy, as do patients with acute myeloid leukemia. Hence, an early, accurate diagnosis is imperative for treating this malignancy. It is also important to list MS in the differential diagnosis of a small bowel tumor, even in nonleukemic patients.https://doi.org/10.1186/s40792-019-0759-6Myeloid sarcomaIntestineChemotherapy
spellingShingle Rie Mizumoto
Masanori Tsujie
Tomoko Wakasa
Kotaro Kitani
Hironobu Manabe
Shuichi Fukuda
Kaoru Okada
Shumpei Satoi
Hajime Ishikawa
Toshihiko Kawasaki
Hitoshi Hanamoto
Masao Yukawa
Masatoshi Inoue
Isolated myeloid sarcoma presenting with small bowel obstruction: a case report
Surgical Case Reports
Myeloid sarcoma
Intestine
Chemotherapy
title Isolated myeloid sarcoma presenting with small bowel obstruction: a case report
title_full Isolated myeloid sarcoma presenting with small bowel obstruction: a case report
title_fullStr Isolated myeloid sarcoma presenting with small bowel obstruction: a case report
title_full_unstemmed Isolated myeloid sarcoma presenting with small bowel obstruction: a case report
title_short Isolated myeloid sarcoma presenting with small bowel obstruction: a case report
title_sort isolated myeloid sarcoma presenting with small bowel obstruction a case report
topic Myeloid sarcoma
Intestine
Chemotherapy
url https://doi.org/10.1186/s40792-019-0759-6
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