A Case of Inguinal Sparganosis Mimicking Myeloid Sarcoma.
- Author:
Jin Yeob YEO
1
;
Jee Young HAN
;
Jung Hwan LEE
;
Young Hoon PARK
;
Joo Han LIM
;
Moon Hee LEE
;
Chul Soo KIM
;
Hyeon Gyu YI
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Incheon 400-711, Korea. visionyhg@hanmail.net
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Sparganum;
sparganosis;
myeloid sarcoma;
hematopoietic stem cell transplantation;
myelodysplastic syndrome
- MeSH:
Animals;
Diagnosis, Differential;
Hematopoietic Stem Cell Transplantation;
Humans;
Larva;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Myelodysplastic Syndromes/complications/surgery;
Republic of Korea;
Sarcoma, Myeloid/diagnosis;
Scrotum/parasitology/*pathology;
Sparganosis/parasitology/*pathology/radiography;
Sparganum/*immunology/isolation & purification;
Tomography, X-Ray Computed;
Transplantation, Homologous
- From:The Korean Journal of Parasitology
2012;50(4):353-355
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report here a case of inguinal sparganosis, initially regarded as myeloid sarcoma, diagnosed in a patient undergone allogeneic hematopoietic transplantation (HSCT). A 56-year-old male patient having myelodysplastic syndrome was treated with allogeneic HSCT after myeloablative conditioning regimen. At day 5 post-HSCT, the patient complained of a painless palpable mass on the left scrotum and inguinal area. Pelvic magnetic resonance imaging and computed tomography revealed suspected myeloid sarcoma. Gun-biopsy was performed, and the result revealed eosinophilic infiltrations without malignancy. Subsequent serologic IgG antibody test was positive for sparganum. Excisional biopsy as a therapeutic diagnosis was done, and the diagnosis of sparganosis was confirmed eventually. This is the first report of sparganosis after allogeneic HSCT mimicking myeloid sarcoma, giving a lesson that the physicians have to consider the possibility of sparganosis in this clinical situation and perform adequate diagnostic and therapeutic approaches.
