PMC2964799_01
A 6-year-old female child showing bilateral proptosis and bitemporal swelling
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A 6-year-old girl presented with low-grade fever for 1 month, with progressive increasing bitemporal swelling and bilateral proptosis (right greater than left) [Figure 1].
Axial CECT showing enhancing infiltrates occupying the lateral orbital wall and causing proptosis. The infiltrate extended toward the bilateral temporal fossae beneath the temporalis muscle. There were extradural infiltrates extending bilaterally extradurally beneath the temporal bones
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On both sides, small lobules were extending into the cortex of the frontal lobes and causing perifocal edema [Figures 2 and 3].
Axial CECT showing extradural infiltrates extending bilaterally beneath the frontal and temporal bones. On both sides, small lobules were extending into the cortex of the frontal lobes and causing perifocal edema
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On both sides, small lobules were extending into the cortex of the frontal lobes and causing perifocal edema [Figures 2 and 3].
Coronal CT showed the left maxilla also infiltrated by the lesion
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The coronal CT showed that the left maxilla was also filled by the lesion [Figure 4].
Bone marrow biopsy showing hypercellular marrow with sheets of blast cells (H & E, 40x)
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The findings were suggestive of AML [Figures 5-8].
FNAC from temporal swelling with hemorrhagic background showing blast cells (May Grunwald Geimsa stain, 20x)
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The findings were suggestive of AML [Figures 5-8].
FNAC from temporal swelling showing clumped blast cells with an occasional signal blast cell (May Grunwald Geimsa stain, 20x)
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The findings were suggestive of AML [Figures 5-8].
Peripheral blood smear showing blast cells (Giemsa stain, 40x)
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The findings were suggestive of AML [Figures 5-8].