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KMID : 0425120120500040353
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Parasites, Hosts and Diseases
2012 Volume.50 No. 4 p.353 ~ p.355
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A Case of Inguinal Sparganosis Mimicking Myeloid Sarcoma
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Yeo Jin-Yeob
Han Jee-Young
Lee Jung-Hwan
Park Young-Hoon
Lim Joo-Han
Lee Moon-Hee
Kim Chul-Soo
Yi Hyeon-Gyu
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Abstract
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We report here a case of inguinal sparganosis, initially regarded as myeloid sarcoma, diagnosed in a patient undergone allogeneic hematopoietic transplantation (HSCT). A 56-year-old male patient having myelodysplastic syndrome was treated with allogeneic HSCT after myeloablative conditioning regimen. At day 5 post-HSCT, the patient complained of a painless palpable mass on the left scrotum and inguinal area. Pelvic magnetic resonance imaging and computed tomography revealed suspected myeloid sarcoma. Gun-biopsy was performed, and the result revealed eosinophilic infiltrations without malignancy. Subsequent serologic IgG antibody test was positive for sparganum. Excisional biopsy as a therapeutic diagnosis was done, and the diagnosis of sparganosis was confirmed eventually. This is the first report of sparganosis after allogeneic HSCT mimicking myeloid sarcoma, giving a lesson that the physicians have to consider the possibility of sparganosis in this clinical situation and perform adequate diagnostic and therapeutic approaches.
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KEYWORD
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Sparganum, sparganosis, myeloid sarcoma, hematopoietic stem cell transplantation, myelodysplastic syndrome
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