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Myeloid sarcoma presenting as an unusual limbal mass
  1. Rachna Meel1,
  2. Arjun Desai2,
  3. Nripen Gaur2 and
  4. Sameer Bakhshi3
  1. 1 Department Of Oculoplastics and Ocular Oncology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  2. 2 Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  3. 3 Department of Medical Oncology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, New Delhi, India
  1. Correspondence to Dr Rachna Meel, dr.rachnameel{at}


A 19-year-old woman presented to the outpatient department with occasional ocular pain and redness and a perilimbal mass, which she noticed 5 months ago in her left eye. She had no systemic complaints. Ultrasound biomicroscopy of the mass showed a hypoechoic lesion with uniform reflectivity. The patient underwent an excision biopsy and a histopathological analysis revealed features suggestive of a granulocytic sarcoma/myeloid sarcoma. Further haematopathological evaluation confirmed concurrent acute myeloid (myelomonocytic) leukaemia French American British classification M4. There was complete remission of the ocular surface lesion and leukaemia with systemic chemotherapy. At the last follow-up of 18 months post-treatment the patient is free of disease.

  • haematology (incl blood transfusion)
  • ophthalmology

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  • Patient consent for publication Obtained.

  • Contributors AD, NG and SB contributed to diagnosis, work-up, writing the manuscript and performing critical revision. RM is the overall responsible for the presentation, contributed to diagnosis and performed critical revision of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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