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Atypical manifestation of myeloid leukemia

, : Atypical manifestation of myeloid leukemia. Arkh Patol 20(11): 62-65

A case of a chronic myeloid leukemia in a 40-year-old patient is described. Duration of the disease was more than 7 years. In addition to the usual signs of the disease, X-ray examination revealed a mass in the region of the left main bronchus, which caused atelectasis of the left lung; this, together with diffuse myeloid infiltration of the left pleura led to an erroneous clinical-X-ray diagnosis of extensive pleural adhesions after exudative pleuritis. Postmortem examination revealed that the mass in the region of left bronchus was similar to a polyp. Only histological examination showed that this mass was formed from immature myeloid elements which had infiltrated the wall of the bronchus. Similar myeloid infiltration was found in the left pleura, lymph nodes, spleen and bone marrow.

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