Primary isolated lumbar spine myeloid sarcoma: a rare case report and review of the literature.
Fatimah AlShakhs, Thana Namer, Zubaidah AlAhmari et al.
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Case in brief
A 39-year-old man presented with eight months of low back pain and radiculopathy, with normal neurological and laboratory findings. Imaging suggested a benign nerve sheath tumor, but surgical decompression and resection revealed isolated lumbar myeloid sarcoma. Following AML-based chemotherapy and stem cell transplantation, the patient showed radiological regression and no systemic disease at one-year follow-up.
Diagnostic / clinical pearl
Isolated lumbar myeloid sarcoma can mimic benign conditions, making accurate tissue diagnosis critical for appropriate management.
Why it matters
This case underscores the importance of early surgical intervention and a multidisciplinary approach in treating isolated spinal myeloid sarcoma to improve patient outcomes.