Extra medullar Granulocytic sarcoma: a case report of an exceptional localization

Granulocytic sarcoma is a rare type of tumor composed of extramedullary immature cells. The breast location is very rare; it accounts for less than 8% of cases. The present study reports the case of a 36-year-old female with a medical history of myelodysplastic syndrome. She was referred because of...

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Main Authors: Bouhani Malek, Sakhri Saida, Jaidane Olfa, Adouni Olfa, Chargui Riadh, Rahal Khaled
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Journal of Mind and Medical Sciences
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Online Access:https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1230&context=jmms
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author Bouhani Malek
Sakhri Saida
Jaidane Olfa
Adouni Olfa
Chargui Riadh
Rahal Khaled
author_facet Bouhani Malek
Sakhri Saida
Jaidane Olfa
Adouni Olfa
Chargui Riadh
Rahal Khaled
author_sort Bouhani Malek
collection DOAJ
description Granulocytic sarcoma is a rare type of tumor composed of extramedullary immature cells. The breast location is very rare; it accounts for less than 8% of cases. The present study reports the case of a 36-year-old female with a medical history of myelodysplastic syndrome. She was referred because of a lump in the left breast. We have diagnosed a case of granulocytic sarcoma of the breast by core biopsy. Histology and immunohistochemistry showed hypercellular smears with immature myeloid cells. The blast cells were myeloperoxidase positive. The patient underwent a lumpectomy. Five months later, she developed a contralateral recurrence, treated by lumpectomy and radiotherapy. Three years later, she developed a recurrence in the left knee. We report this case for its rarity and as a note of caution to a physician to consider myeloid sarcoma in the differential diagnosis of a breast lump, to provide the correct diagnosis and avoid incorrect treatment of a curable disease.
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issn 2392-7674
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spelling doaj-art-d513aa774e5f4ad08b2915294b4590bb2025-08-20T03:19:42ZengMDPI AGJournal of Mind and Medical Sciences2392-76742392-76742020-04-017111011310.22543/7674.71.P110113Extra medullar Granulocytic sarcoma: a case report of an exceptional localizationBouhani Malek0Sakhri Saida1Jaidane Olfa2Adouni Olfa3Chargui Riadh4Rahal Khaled5SALAH AZAIZ INSTITUTE, DEPARTMENT OF ONCOLOGIC SURGERY, BOULEVARD 9TH APRIL, TUNIS 1009, TUNISIASALAH AZAIZ INSTITUTE, DEPARTMENT OF ONCOLOGIC SURGERY, BOULEVARD 9TH APRIL, TUNIS 1009, TUNISIASALAH AZAIZ INSTITUTE, DEPARTMENT OF ONCOLOGIC SURGERY, BOULEVARD 9TH APRIL, TUNIS 1009, TUNISIASALAH AZAIZ INSTITUTE, DEPARTMENT OF ANATOMO-PATHOLOGY, BOULEVARD 9TH APRIL, TUNIS 1009, TUNISIASALAH AZAIZ INSTITUTE, DEPARTMENT OF ONCOLOGIC SURGERY, BOULEVARD 9TH APRIL, TUNIS 1009, TUNISIASALAH AZAIZ INSTITUTE, DEPARTMENT OF ONCOLOGIC SURGERY, BOULEVARD 9TH APRIL, TUNIS 1009, TUNISIAGranulocytic sarcoma is a rare type of tumor composed of extramedullary immature cells. The breast location is very rare; it accounts for less than 8% of cases. The present study reports the case of a 36-year-old female with a medical history of myelodysplastic syndrome. She was referred because of a lump in the left breast. We have diagnosed a case of granulocytic sarcoma of the breast by core biopsy. Histology and immunohistochemistry showed hypercellular smears with immature myeloid cells. The blast cells were myeloperoxidase positive. The patient underwent a lumpectomy. Five months later, she developed a contralateral recurrence, treated by lumpectomy and radiotherapy. Three years later, she developed a recurrence in the left knee. We report this case for its rarity and as a note of caution to a physician to consider myeloid sarcoma in the differential diagnosis of a breast lump, to provide the correct diagnosis and avoid incorrect treatment of a curable disease.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1230&context=jmmsmyeloidsarcomabreastmyelodysplasticsyndrome
spellingShingle Bouhani Malek
Sakhri Saida
Jaidane Olfa
Adouni Olfa
Chargui Riadh
Rahal Khaled
Extra medullar Granulocytic sarcoma: a case report of an exceptional localization
Journal of Mind and Medical Sciences
myeloid
sarcoma
breast
myelodysplastic
syndrome
title Extra medullar Granulocytic sarcoma: a case report of an exceptional localization
title_full Extra medullar Granulocytic sarcoma: a case report of an exceptional localization
title_fullStr Extra medullar Granulocytic sarcoma: a case report of an exceptional localization
title_full_unstemmed Extra medullar Granulocytic sarcoma: a case report of an exceptional localization
title_short Extra medullar Granulocytic sarcoma: a case report of an exceptional localization
title_sort extra medullar granulocytic sarcoma a case report of an exceptional localization
topic myeloid
sarcoma
breast
myelodysplastic
syndrome
url https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1230&context=jmms
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AT sakhrisaida extramedullargranulocyticsarcomaacasereportofanexceptionallocalization
AT jaidaneolfa extramedullargranulocyticsarcomaacasereportofanexceptionallocalization
AT adouniolfa extramedullargranulocyticsarcomaacasereportofanexceptionallocalization
AT charguiriadh extramedullargranulocyticsarcomaacasereportofanexceptionallocalization
AT rahalkhaled extramedullargranulocyticsarcomaacasereportofanexceptionallocalization