Granulocytic sarcoma of the lung in acute myeloid leukemia
Rajat Thawani1, Akanksha Chichra, Amita Mahajan
1Departments of Pediatrics and *Pathology, Indraprastha Apollo Hospital, New Delhi, India. Correspondence to: Dr Rajat Thawani, F-61/B, Gangotri Enclave, Alaknanda, New Delhi 110 019, India. rajat13@gmail.com.
Background:
Granulocytic sarcoma, an uncommon solid, extra-medullary tumor is a rare presentation of acute myeloid leukemia.
Case Characteristics:
A seven-year old boy admitted to the hospital for treatment of leukemia having radiological findings of consolidation in one lung.
Observation/Intervention:
A bronchoalveolar lavage was done which was negative for tubercular, bacterial, and fungal infection but showed blast cells.
Outcome:
On day seven of chemotherapy, a repeat chest x-ray showed resolution of the lesion. A high-resolution Computerized tomography of chest repeated after one month of induction showed resolution.
Message:
A consolidation on chest radiograph in acute myeloid leukemia can be a granulocytic sarcoma of the lung; a bronchoalveolar lavage may be offered to confirm or refute this diagnosis.
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