Granulocytic Sarcoma of the Female Genital Tract: Report of a Case with an Unusual Presentation

Vol. 59, No. 4, 2005

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Case Report

Granulocytic Sarcoma of the Female Genital Tract: Report of a Case with an Unusual Presentation
Reva Tripathi^a, Babita Sharma^a, K. Uma Chaturvedi^b, Neeta Khurana^b, Y.M. Mala^a

Departments of
^aObstetrics and Gynaecology and
^bPathology, Maulana Azad Medical College and Associated Hospitals, New Delhi, India

Address of Corresponding Author

Gynecol Obstet Invest 2005;59:189-191 (DOI: 10.1159/000083896)

Key Words

Granulocytic sarcoma
Ovary
Uterus
Acute myeloid leukemia

Abstract

Granulocytic sarcoma of the female genital tract is a rare occurrence. A case of a perimenopausal female is presented who reported with a history of menorrhagia with a lump in the abdomen. A diagnosis of fibroid uterus was made but laparotomy findings were suggestive of inoperable ovarian malignancy with metastases. Postoperatively the patient suddenly became very anemic. Hematological investigations and histopathological reports from ovaries, myometrium, endometrium and intraperitoneal deposits all revealed acute myeloid leukemia. The patient received two cycles of chemotherapy but later succumbed to her disease. Extrauterine causes of menorrhagia should be considered before instituting definitive treatment. Preoperative induction chemotherapy may be more successful in cases of granulocytic sarcoma who tend to have a poor prognosis.

Author Contacts

Dr. Reva Tripathi
14, Type VI, MAMC Campus, Kotla Road
New Delhi 110002 (India)
Tel. +91 11 23 23 54 30, Fax +91 11 23 23 55 74, E-Mail revatripathi@hotmail.com

Article Information

Received: September 10, 2003
Accepted after revision: October 21, 2004
Published online: February 9, 2005
Number of Print Pages : 3
Number of Figures : 0, Number of Tables : 0, Number of References : 6

Medline Abstract (ID 15711083)

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