Premium
A rare case of a pericardial mass: Myelosarcoma from relapsed acute monoblastic leukaemia without bone marrow involvement
Author(s) -
Binny Simon,
Tomlinson Stephen,
Hammett Christopher,
Dahiya Arun,
Pillai Elango,
Prasad Sandhir B.
Publication year - 2017
Publication title -
australasian journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
eISSN - 2205-0140
pISSN - 1836-6864
DOI - 10.1002/ajum.12073
Subject(s) - medicine , pericardial effusion , pericardium , bone marrow , cardiac tamponade , myeloid leukaemia , pericardiectomy , pericardiocentesis , surgery , cardiology
A 67‐year‐old male presented with progressive exertional dyspnoea, night sweats and 25 kg of weight loss over 2 years. He was febrile, 38.0°C, hypotensive and tachycardiac. Pulsus paradoxus was present. His electrocardiogram showed electrical alternans. He had previously had acute myeloid leukaemia treated with three cycles of chemotherapy. Results The patient was found to have a 3.6 cm pericardial effusion with features consistent with tamponade and three cardiac masses (largest 10 × 9 × 5 cm) and mediastinal lymphadenopathy. He had 825 mL of pericardial fluid drained from which cytology was consistent with extramedullary leukaemia. A bone marrow aspirate and trephine was normal. Conclusion The findings suggested extramedullary recurrence of leukaemia in the pericardium, without bone marrow involvement.