Summary
A 7-year-old boy, having had headache and vomiting for one month, was operated for a tumour in the left side of the posterior fossa. The tumour, weighing 52 g, infiltrated the dura mater, leptomeninges, and also, superficially, the left cerebellar hemisphere. The patient died five weeks after operation.
Light and electron microscopical examination revealed a granulocytic sarcoma (chloroma). Pre- and postoperative blood examinations, together with post-operative and autopsy bone marrow examinations, showed no sign of acute myelogenous leukaemia. This is the second reported case of primary intracranial chloroma with no preceding sign of acute myelogenous leukemia, and the first case with cerebellar infiltration.
Similar content being viewed by others
References
Brugo, E. A., Larkin, E., Molina-Escobar, J., Costanzi, J., Primary granulocytic sarcoma of the small bowel. Cancer35 (1975), 1333–1340.
Hurwitz, B. S., Sutherland, J. C., Walker, M. D., Central nervous system chloromas preceding acute leukemia by one year. Neurology20 (1970), 771–775.
Kapadia, S. B., Krause, J. R., Kanbour, A. I., Hartsock, R. J., Granulocytic sarcoma of the uterus. Cancer41 (1978), 687–691.
Krishnamurthy, M., Nusbacher, N., Elguezabal, A., Seligman, B. R., Granulocytic sarcoma of the brain. Cancer39 (1977), 1542–1546.
Leder, L. D., Über die selektive fermentcytochemische Darstellung von neutro-philen myeloischen Zellen und Gewebsmastzellen im Paraffinschnitt. Klin. Wochenschr.42 (1964), 553.
Llena, J. F., Kawamoto, K., Hirano, A., Feiring, E. H., Granulocytic sarcoma of the central nervous system: Initial presentation of leukemia. Acta neuro-path.42 (1978), 145–147.
Mason, T. E., Demaree, R. S., Margolis, C. I., Granulocytic sarcoma (chloroma), two years preceding myelogenous leukemia. Cancer31 (1973), 423–432.
Ross, R. R., Chloroma and chloroleukemia. Amer. J. Med.18 (1955), 671–676.
Seo, I. S., Hull, M. T., Pak, H. Y., Granulocytic sarcoma of the cervix as a primary manifestation. Cancer40 (1977), 3030–3037.
Wiernik, P. H., Serpick, A. A., Granulocytic sarcoma (Chloroma). Blood35 (1970), 361–369.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nickels, J., Koivuniemi, A. & Heiskanen, O. Granulocytic sarcoma (chloroma) of the cerebellum and meninges. Acta neurochir 46, 297–301 (1979). https://doi.org/10.1007/BF01430592
Issue Date:
DOI: https://doi.org/10.1007/BF01430592