Chloroma of pancreas-initial manifestation of a secondary leukemia after stem cell transplantation case report and review of the literature.

INTRODUCTION

Chloroma is an extramedullary solid tumor consisting of immature myeloid cells.

CASE PRESENTATION: We report a patient with painless jaundice 6 years after allogeneic peripheral stem cell transplantation because of an acute myeloid leukemia leading us to the diagnosis of a chloroma of the pancreas as the first manifestation of a secondary host leukemia.

DISCUSSION: A histological examination of unclear pancreatic tumors should be mandatory in patients with a history of leukemia. If surgical therapy is unavoidable because of stenosis symptoms or for histological proof, a resection should be avoided.

CONCLUSION

Bypass surgery can ease the symptoms and it allows timely curative chemotherapy or stem cell transplantation.