A Case of Inguinal Sparganosis Mimicking Myeloid Sarcoma
2012
Yeo, J.Y., Inha University College of Medicine, Incheon, Republic of Korea | Han, J.Y., Inha University College of Medicine, Incheon, Republic of Korea | Lee, J.H., Inha University College of Medicine, Incheon, Republic of Korea | Park, Y.H., Inha University College of Medicine, Incheon, Republic of Korea | Lim, J.H., Inha University College of Medicine, Incheon, Republic of Korea | Lee, M.H., Inha University College of Medicine, Incheon, Republic of Korea | Kim, C.S., Inha University College of Medicine, Incheon, Republic of Korea | Yi, H.G., Inha University College of Medicine, Incheon, Republic of Korea
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.
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