Iwamuro Masaya, Kamio Tomohiro, Hirata Shoichiro, Matsueda Katsunori, Kametaka Daisuke, Tanaka Takehiro, Kawano Seiji, Otsuka Motoyuki
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan.
Department of Pathology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan.
Intern Med. 2025 Jul 15;64(14):2155-2159. doi: 10.2169/internalmedicine.4664-24. Epub 2024 Dec 19.
Myeloid sarcoma is a rare extramedullary tumor of immature myeloid cells that is often associated with acute myeloid leukemia (AML). We herein report an 81-year-old man who presented with intestinal obstruction due to myeloid sarcoma of the small intestine. Diagnostic challenges were overcome using double-balloon enteroscopy and a biopsy, which confirmed the diagnosis of myeloid sarcoma. The patient subsequently developed AML but responded well to chemotherapy. This case underscores the importance of considering myeloid sarcoma in the differential diagnosis of small-bowel tumors. Highlighting the significance of a histological analysis, even in patients presenting with small bowel obstruction, the early diagnosis and treatment are crucial for improving outcomes, particularly in patients without a history of hematologic malignancies.
髓系肉瘤是一种罕见的未成熟髓系细胞的髓外肿瘤,常与急性髓系白血病(AML)相关。我们在此报告一名81岁男性,因小肠髓系肉瘤出现肠梗阻。通过双气囊小肠镜检查和活检克服了诊断难题,确诊为髓系肉瘤。该患者随后发展为AML,但对化疗反应良好。此病例强调了在小肠肿瘤鉴别诊断中考虑髓系肉瘤的重要性。突出了组织学分析的意义,即使是出现小肠梗阻的患者,早期诊断和治疗对于改善预后至关重要,尤其是对于无血液系统恶性肿瘤病史的患者。