Myeloid Sarcoma of Temporal Bone: A Rare Manifestation of Relapse Acute Myeloid Leukemia

  • Bee See GohEmail author
  • Chian Ling Tang
  • Geok Chin Tan
Clinical Report


Myeloid sarcoma is a rare malignant extramedullary neoplasm of myeloid precursor cells. This disorder may occur in concomitance with or precede development of acute or chronic myeloid leukemia. Sometimes, it is the initial manifestation of relapse in a previously treated acute myeloid leukemia. We report a case of 11 years old boy with acute myeloid leukemia in remission state, presented with short history of right otalgia associated with facial nerve palsy. Diagnosis of right acute mastoiditis with facial nerve palsy as complication of acute otitis media was made initially. Patient underwent simple cortical mastoidectomy but histopathology from soft tissue that was sent revealed diagnosis of myeloid sarcoma. A leukemic relapse was confirmed by paediatric oncologist through bone marrow biopsy. Chemotherapy was commenced but patient responded poorly to the treatment.


Myeloid sarcoma Acute mastoiditis Acute myeloid leukemia Facial nerve palsy 


Compliance with Ethical Standards

Conflict of interest

Authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any authors.

Informed consent

Informed consent was obtained from all individual participants included in this study.


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Copyright information

© Association of Otolaryngologists of India 2015

Authors and Affiliations

  • Bee See Goh
    • 1
    • 2
    Email author
  • Chian Ling Tang
    • 1
  • Geok Chin Tan
    • 3
  1. 1.Department of Otorhinolaryngology-Head and Neck SurgeryUniversiti Kebangsaan MalaysiaWilayah Persekutuan Kuala LumpurMalaysia
  2. 2.Institute of Ear, Hearing and Speech (Institute-HEARS)Universiti Kebangsaan MalaysiaKuala LumpurMalaysia
  3. 3.Department of PathologyUniversiti Kebangsaan MalaysiaKuala LumpurMalaysia

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