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Myeloid Sarcoma of the Appendix Mimicking Acute Appendicitis

Sanjay Khatti1, Silvana C. Faria1, L. Jeffrey Medeiros2 and Janio Szklaruk1

1 Department of Diagnostic Imaging, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Box 57, Houston, TX 77030.
2 Department of Hematopathology, The University of Texas M. D. Anderson Cancer, Houston, TX 77030.



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  		Fig. 1A. —29-year-old man with myeloid sarcoma mimicking acute appendicitis. Contrast-enhanced axial CT scan of pelvis reveals mildly distended, fluid-filled, thick-walled abnormal appendix (black arrow) and edema (white arrow) in surrounding fat.

 


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  		Fig. 1B. —29-year-old man with myeloid sarcoma mimicking acute appendicitis. Histopathologic section shows myeloid sarcoma partially surrounding appendix (asterisk) and invading appendiceal muscle wall (arrow). (H and E, x20)

 


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  		Fig. 1C. —29-year-old man with myeloid sarcoma mimicking acute appendicitis. Photomicrograph of histopathologic specimen shows myeloid sarcoma tumor cells. (H and E, x1,000)

 

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