Journal of Gastrointestinal Surgery

, Volume 17, Issue 7, pp 1331–1335 | Cite as

Chloroma of Pancreas—Initial Manifestation of a Secondary Leukemia after Stem Cell Transplantation Case Report and Review of the Literature

  • Navid Tabriz
  • Andrea Tannapfel
  • Frank Griesinger
  • Dirk Weyhe
Case Report



Chloroma is an extramedullary solid tumor consisting of immature myeloid cells.

Case Presentation

We report a patient with painless jaundice 6 years after allogeneic peripheral stem cell transplantation because of an acute myeloid leukemia leading us to the diagnosis of a chloroma of the pancreas as the first manifestation of a secondary host leukemia.


A histological examination of unclear pancreatic tumors should be mandatory in patients with a history of leukemia. If surgical therapy is unavoidable because of stenosis symptoms or for histological proof, a resection should be avoided.


Bypass surgery can ease the symptoms and it allows timely curative chemotherapy or stem cell transplantation.


Chloroma Granulocytic sarcoma Pancreas Leukemia 



We thank Prof. Henke, Institute for Pathology, Oldenburg, for the preparation of the instantaneous sections.


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Copyright information

© The Society for Surgery of the Alimentary Tract 2013

Authors and Affiliations

  • Navid Tabriz
    • 1
  • Andrea Tannapfel
    • 2
  • Frank Griesinger
    • 3
  • Dirk Weyhe
    • 1
  1. 1.Department of Visceral SurgeryPius-Hospital OldenburgOldenburgGermany
  2. 2.Institute for PathologyRuhr University BochumBochumGermany
  3. 3.Department of Hematology and OncologyPius-Hospital OldenburgOldenburgGermany

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