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KMID : 0311119800210010036
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Yonsei Medical Journal
1980 Volume.21 No. 1 p.36 ~ p.42
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Granulocytic Sarcoma of the Uterine Cervix Preceding Myelogenous Leukemia
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Park, Chan Il
Kim, Tae Seung/Lee, Yoo Bock
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Abstract
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A case of granulocytic sarcoma involving the uterine cerivx as the primary manifestation, before the peripheral blood and bone marrow showed evidences of overt leukemia, is presented. Six weeks after the onset of the genital tract symptom the patient developed acute myelogenous leukemia. The uterine tumor was initially believed to be a histiocytic lymphoma. The diagnosis of granulocytic sarcoma was confirmed by the naphthol AS-D chloracetate stain for esterase, which was performed on the uterine cervix and obturator lymphnodes taken by hysterectomy and pelvic node dissection. The literatrue was reviewed with emphasis on the differential diagnosis of granulocytic sarcoma and histiocytic lymphoma, and the clinical and pathological problems that arise when the tumor presents at an unusual location and without peripheral blood manifestation of leukemia.
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KEYWORD
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