New adnexal masses in a patient with a history of chronic myelogenous leukemia: a case report

Extramedullary haematopoiesis presenting as an adnexal mass in a patient with β-thalassaemia

“…Adnexal EMH may occur in the context of various haematological pathologies. Three patients (33.3%) were affected by chronic myeloid leukaemia,3 9 10 three by myelofibrosis (33.3%)11 14 15 and one by myelomonocytic leukaemia with granulocytic sarcoma 13. Our patient and the 15-year-old girl described by Khen-Dunlop et al 12 (20%) were affected by β-TI.…”

“…Two patients were infants in their 2's, one of whom was affected by trisomy 21 13 14. Four patients (44.4%) were of African-American ethnicity,3 9 10 12 one of Asian ethnicity (our case report) and another one of American-Indian ethnicity 15. For three patients, the ethnic group was not reported 11 13 14.…”

“…For three patients, the ethnic group was not reported 11 13 14. The most frequent clinical presentation was severe abdominal pain described in six patients (66.6%) 3 9–12 15. The two infants presented oral ulcers and mucosal bleeding 13 14.…”

“…From the analysis of the nine included case reports (tables 1 and 2),3 9–15 the ages of the adult patients ranged from 31 to 50 years with a median of 41.5 years. One patient was a young girl in her early 10s 12.…”

“…CT scan was selected for imaging in four cases (44.4%),3 10 11 13 and pyosalpinges were suspected in two of them 3 10. In two cases, both CT scan and ultrasound were used;9 12 in one case, ultrasound suspected a dermoid cyst 12. In four cases (44.4%), laparotomy or laparoscopy was performed for histological diagnosis 3 10 11 13.…”