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  • Title: Facial palsy as first presentation of acute myeloid leukemia.
    Author: Sood BR, Sharma B, Kumar S, Gupta D, Sharma A.
    Journal: Am J Hematol; 2003 Nov; 74(3):200-1. PubMed ID: 14587051.
    Abstract:
    Granulocytic sarcoma or chloroma is a tumor composed of myeloblast or monoblast. These tumors may be found in any location of the body and occur in 5% of acute myeloid leukemia (AML) cases and are more common in pediatric patients. In this report we describe the case of a 27-year-old male who developed lower motor neuron seventh nerve palsy followed by swelling of the parotid gland. Fine-needle aspiration cytology (FNAC) of the soft tissue swelling revealed scattered blasts, and peripheral smear and bone marrow aspirate examination suggested AML. This is a rare presentation of a granulocytic sarcoma leading to a diagnosis of AML.
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