Korean J Med.  2014 Jul;87(1):101-104.

A Case of Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia in an Adult Presenting with an Extramedullary Bone Tumor

Affiliations
  • 1Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. kshmoon@dau.ac.kr

Abstract

Acute lymphoblastic leukemia (ALL) is a lymphoid malignancy characterized by impaired differentiation and proliferation of leukemic myeloblasts. Normal hematopoietic cells are replaced by excess myeloblasts, causing bone marrow failure. Therefore, patients with ALL typically present with symptoms related to infection, anemia, and thrombocytopenia. Extramedullary involvement of ALL as an initial presenting symptom has rarely been reported in adults, although several such cases of relapse have been described. Isolated extramedullary manifestations may lead to a late diagnosis of ALL. We describe herein a patient with Philadelphia chromosome-positive ALL presenting with an extramedullary bone tumor.

Keyword

Acute lymphoblastic leukemia; Extramedullary diasease

MeSH Terms

Adult*
Anemia
Bone Marrow
Delayed Diagnosis
Granulocyte Precursor Cells
Humans
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
Recurrence
Thrombocytopenia
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