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Bilateral epibulbar granulocytic sarcomas: a case of an 8-year-old girl with acute myeloid leukaemia

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Abstract

Purpose

An 8-year-old girl with a history of acute myeloid leukaemia (AML) presented with bilateral ocular discomfort, conjunctival injection, photophobia, and epiphora.

Methods

Clinical examination and high-frequency ultrasound showed bilateral epibulbar tumours.

Results

Granulocytic sarcomas were suspected and leukaemic infiltration was confirmed by fine-needle aspiration biopsy based cytopathologic examination.

Conclusions

Epibulbar granulocytic sarcoma in AML is rare (particularly in a child). We describe the first high-frequency ultrasound images and illustrate the use of a minimally invasive fine-needle aspiration biopsy technique to confirm our diagnosis.

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Acknowledgements

We would like to thank Alfred P. Gillio, MD and Anthony C. Ingenito, MD of Hackensack University Medical Center for their contributions to this manuscript.

Author information

Authors and Affiliations

  1. The New York Eye Cancer Center, 115 East 61st Street, New York, NY, 10021, USA

    Caroline Rosenberg & Paul T. Finger

  2. New York University School of Medicine, 40 West 72nd Street, New York, NY, 10023, USA

    Louis Furlan

  3. New York Eye and Ear Infirmary, 310 E.14th Street, 3rd Floor North, New York, NY, 10003, USA

    Codrin E. Iacob

Authors
  1. Caroline Rosenberg
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  2. Paul T. Finger
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  3. Louis Furlan
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  4. Codrin E. Iacob
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Corresponding author

Correspondence to Paul T. Finger.

Additional information

This study was supported by The EyeCare Foundation, Inc., and Research to Prevent Blindness, New York City, New York USA.

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Rosenberg, C., Finger, P.T., Furlan, L. et al. Bilateral epibulbar granulocytic sarcomas: a case of an 8-year-old girl with acute myeloid leukaemia. Graefe's Arch Clin Exp Ophthalmol 245, 170–172 (2007). https://doi.org/10.1007/s00417-006-0341-3

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  • DOI: https://doi.org/10.1007/s00417-006-0341-3

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