title: Epithelioid sarcoma with diffuse bone marrow metastases and associated leukemoid reaction. A case report and brief literature review.
abstract: A patient with a recurrent epithelioid sarcoma of the hand was observed for five years with a diagnosis of nodular fasciitis. Eventually, the patient had a pulmonary metastasis and diffuse bone marrow spread, which was associated with a leukemoid reaction. Bone marrow dissemination by sarcoma is unusual, and its production of a leukemoid reaction very rare; this is its first reported occurrence in epithelioid sarcoma that the authors have been able to identify in the literature.
authors.affiliation: Department of Pathology, Harvard Medical School, Boston, Massachusetts.
authors.forename: A E
authors.initials: AE
authors.lastname: Rosenberg
authors.forename: J E
authors.initials: JE
authors.lastname: Garber
authors.forename: W
authors.initials: W
authors.lastname: Bennett
authors.forename: A K
authors.initials: AK
authors.lastname: Bhan
authors.forename: K H
authors.initials: KH
authors.lastname: Antman
authors.forename: E J
authors.initials: EJ
authors.lastname: Mark
mesh_terms: D000328:Adult; D001853:Bone Marrow; D001859:Bone Neoplasms / Q000473:pathology / Q000556:secondary*; D006225:Hand; D006801:Humans; D007955:Leukemoid Reaction / Q000473:pathology*; D008175:Lung Neoplasms / Q000556:secondary*; D008297:Male; D012509:Sarcoma / Q000473:pathology / Q000556:secondary*