Acute myeloid leukemia associated with ovarian tumor in the abscence of prior antineoplastic treatment

Abstract

This is a clinic report about a teenager, who was admitted to the Mario Catarino Rivas hospital with history of four days of fever, headaches and spontaneous hematomas on thighs, accompanied by an abdominal mass of 10 cm of diameter; the hemogram showed anemia and thrombocytopenia. The bone marrow aspirate and immunophenotype reported Acute Myeloid Leukemia (AML) stage M7. The abdominal tomography reported an extense retroperitoneal tumor so an exploratory laparotomy was performed finding a giant right ovarian tumor with metastasis to paraaortic nodes. Biopsy reported a mixed germ cells tumor. Simultaneous appearence of Acute Myeloid Leukemia and an ovarian tumor without previous history of chemoterapy is an unusual finding that has not been reported in the literature.

Acta Pediátrica Hondureña, Vol. 6, No. 2 /octubre 2015 a marzo 2016: 499-505