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Radiological and clinical patterns of myeloid sarcoma

Hans-Jonas Meyer

Hans-Jonas Meyer

Department of Diagnostic and Interventional Radiology, University Hospital LeipzigLeipzig, Germany
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Meyer, Hans-Jonas
, 
Maximilian Beimler

Maximilian Beimler

Department of Diagnostic and Interventional Radiology, University Hospital LeipzigLeipzig, Germany
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Beimler, Maximilian
, 
Gudrun Borte

Gudrun Borte

Department of Diagnostic and Interventional Radiology, University Hospital LeipzigLeipzig, Germany
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Borte, Gudrun
, 
Wolfram Pönisch

Wolfram Pönisch

Department of Hematology and Oncology, University Hospital LeipzigLeipzig, Germany
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Pönisch, Wolfram
 and 
Alexey Surov

Alexey Surov

Department of Diagnostic and Interventional Radiology, University Hospital LeipzigLeipzig, Germany
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Surov, Alexey
  
Mar 14, 2019
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Article Category: Research Article
Published Online: Mar 14, 2019
Page range: 213 - 218
Received: Oct 18, 2018
Accepted: Feb 17, 2019
DOI: https://doi.org/10.2478/raon-2019-0014
Keywords
© 2019 Hans-Jonas Meyer, Maximilian Beimler, Gudrun Borte, Wolfram Pönisch, Alexey Surov, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Computed tomography in a 89-years old patient with chronic myeloid leukemia showing a large abdominal mass (arrow) affecting the small bowel. Histological examination (not shown) after surgical biopsy confirms an extramedullary relapse of the known leukemia.
Computed tomography in a 89-years old patient with chronic myeloid leukemia showing a large abdominal mass (arrow) affecting the small bowel. Histological examination (not shown) after surgical biopsy confirms an extramedullary relapse of the known leukemia.

Figure 2

Magnetic resonance imaging findings in a 32-years old patient with known history of acute myeloid leukemia. Clinical presentation with headache. MRI documenting a large lesion in the left temporal lobe (arrows). On T1 weighted image it is slightly hypointense (A). After intravenous application of contrast medium, the lesion shows an inhomogenous enhancement (B). Histological examination (not shown) after surgical biopsy confirms an extramedullary relapse of the known leukemia.
Magnetic resonance imaging findings in a 32-years old patient with known history of acute myeloid leukemia. Clinical presentation with headache. MRI documenting a large lesion in the left temporal lobe (arrows). On T1 weighted image it is slightly hypointense (A). After intravenous application of contrast medium, the lesion shows an inhomogenous enhancement (B). Histological examination (not shown) after surgical biopsy confirms an extramedullary relapse of the known leukemia.

Figure 3

Axial T2 weighted image of the pelvis documenting multiple slightly hyperintense intramuscular lesions (arrows) in a 59-years old patient with known history of acute myeloid leukemia.
Axial T2 weighted image of the pelvis documenting multiple slightly hyperintense intramuscular lesions (arrows) in a 59-years old patient with known history of acute myeloid leukemia.

Figure 4

Computed tomography of the thorax (A) and abdomen in portal venous phase (B) in a 54-years old patient with acute myeloid leukemia documenting multiple paravertebral and retroperitoneal enhancing masses (arrows). Additionally, pleural and pericardial effusions are seen.
Computed tomography of the thorax (A) and abdomen in portal venous phase (B) in a 54-years old patient with acute myeloid leukemia documenting multiple paravertebral and retroperitoneal enhancing masses (arrows). Additionally, pleural and pericardial effusions are seen.

The affected body regions of the patients

RegionN%
Visceral soft tissue2629.9
Cutis2124.1
Bones1314.9
Central nervous system910.3
Lymph nodes44.6
Stomach33.4
Pancreas33.4
Heart22.3
Enteric22.3
Testis11.2
Breast11.2
Bladder11.2
Kidney11.2
All87100
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Medicine, Clinical Medicine, Internal Medicine, Haematology, Oncology, Radiology
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