Buxó J, Badal J M, Pérez de Olaguer J, Majó J
Sección de Oncología, Hospital General de Manresa.
Sangre (Barc). 1997 Feb;42(1):73-5.
A case of acute non-lymphoblastic leukaemia is reported which appeared as granulocytic sarcoma (GS) with no leukaemic expression in peripheral blood. Aside of the patient's advanced age, the rarity of this entity at the onset of ANLL and the location of the tumour, on the back of the patient's left upper thigh are outstanding features. The difficult diagnosis of such non-leukaemic cases is also stressed here, with regard to the differential diagnosis with non-Hodgkin's lymphoma (NHL). It is concluded that the incidence of GS as a tumour of soft tissues in the extremities is more common in patients over 75 years of age, its frequency being 17-fold that of NHL for the same age and location.
报告了一例急性非淋巴细胞白血病，其表现为粒细胞肉瘤（GS），外周血无白血病表现。除患者高龄外，该实体在急性非淋巴细胞白血病发病时的罕见性以及肿瘤位于患者左大腿后部是突出特征。本文还强调了此类非白血病病例的诊断困难，涉及与非霍奇金淋巴瘤（NHL）的鉴别诊断。得出结论，GS作为四肢软组织肿瘤在75岁以上患者中更为常见，其发生率是同年龄和部位NHL的17倍。
