Meningeal granulocytic sarcoma without evidence of leukemia. Light and ultrastructural study of one case

An unusual case of meningeal granulocytic sarcoma without evidence of Leukemia is presented. The patient, a 40 year old female, presented with a chronic subdural haematoma. Three months later a large meningeal tumor was discovered adjacent to the previous haematoma and was found to be a granulocytic sarcoma by the use of electron microscopy. The tumor was treated by surgical excision followed by radiotherapy and chemotherapy. The patient remains free of symptoms and without evidence of leukemia in the peripheral blood or bone marrow 9 months after the diagnosis was established. The ultrastructural findings in the tumor and diagnostic difficulties often encountered are emphasized.