Primary granulocytic sarcoma of larynx

Head Neck. 2015 Mar;37(3):E38-44. doi: 10.1002/hed.23805. Epub 2014 Nov 13.

Abstract

Background: Granulocytic sarcoma is an extramedullary tumor of myeloblasts. The purpose of this report was to present a case of a primary laryngeal granulocytic sarcoma and review of the literature.

Methods: A literature review was performed using Medline and PubMed databases to search for cases of all primary and secondary myelogenous tumors of the larynx.

Results: A 36-year-old man presented with a mass involving the preepiglottic space that was histologically confirmed as an extramedullary acute myeloid leukemia, or granulocytic sarcoma. Our review found 18 cases of secondary involvement of the larynx by myelogenous tumors, and only 1 previously reported case of primary laryngeal granulocytic sarcoma.

Conclusion: The detection of granulocytic sarcoma is difficult given its rarity and nonspecific presentation. To our knowledge, this is the second reported case of primary granulocytic sarcoma of the larynx reported in the literature.

Keywords: acute myeloid leukemia; chronic myeloid leukemia; granulocytic sarcoma; hematopoietic malignancies; larynx; myelodysplastic syndrome.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Biopsy, Needle
  • Deglutition Disorders / diagnosis
  • Deglutition Disorders / etiology
  • Follow-Up Studies
  • Humans
  • Immunohistochemistry
  • Laryngeal Neoplasms / diagnosis
  • Laryngeal Neoplasms / pathology*
  • Laryngeal Neoplasms / therapy*
  • Male
  • Rare Diseases
  • Risk Assessment
  • Sarcoma, Myeloid / diagnosis
  • Sarcoma, Myeloid / pathology*
  • Sarcoma, Myeloid / therapy*
  • Tracheostomy / methods*
  • Treatment Outcome

Supplementary concepts

  • Primary granulocytic sarcoma