Gastric Myeloid Sarcoma Mimicking a Scirrhous Gastric Cancer

Intern Med. 2022 Apr 15;61(8):1231-1235. doi: 10.2169/internalmedicine.7986-21. Epub 2021 Oct 5.

Abstract

Myeloid sarcoma (MS) is a relatively rare manifestation of myeloid neoplasms at sites other than the bone marrow. The rarity of gastrointestinal (GI) MS is attributed to certain factors, such as misdetection due to insufficient endoscopic assessments at the initial presentation with acute myeloid leukemia (AML) as well as the difficulty of making a histologic assessment of leukemic involvement of the GI tract. We herein report a case of AML with gastric involvement and discuss the importance of screening examinations and therapies considering the location of MS and the data of cytogenetic and molecular mutation.

Keywords: NPM1 mutation; gastrointestinal myeloid sarcoma; myeloid sarcoma.

Publication types

  • Case Reports

MeSH terms

  • Bone Marrow / pathology
  • Humans
  • Leukemia, Myeloid, Acute* / genetics
  • Mutation
  • Sarcoma, Myeloid* / diagnosis
  • Sarcoma, Myeloid* / genetics
  • Stomach Neoplasms* / diagnostic imaging