Bilateral epibulbar granulocytic sarcomas: a case of an 8-year-old girl with acute myeloid leukaemia.
OBJECTIVE
An 8-year-old girl with a history of acute myeloid leukaemia (AML) presented with bilateral ocular discomfort, conjunctival injection, photophobia, and epiphora.


METHODS
Clinical examination and high-frequency ultrasound showed bilateral epibulbar tumours.


RESULTS
Granulocytic sarcomas were suspected and leukaemic infiltration was confirmed by fine-needle aspiration biopsy based cytopathologic examination.


CONCLUSIONS
Epibulbar granulocytic sarcoma in AML is rare (particularly in a child). We describe the first high-frequency ultrasound images and illustrate the use of a minimally invasive fine-needle aspiration biopsy technique to confirm our diagnosis.
Rosenberg
Caroline
C
The New York Eye Cancer Center, 115 East 61st Street, New York, NY 10021, USA.
Finger
Paul T
PT
Furlan
Louis
L
Iacob
Codrin E
CE
D001707:Biopsy, Needle; D002648:Child; D003228:Conjunctiva / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000000981:diagnostic imaging / Q000473:pathology*; D017254:Leukemic Infiltration; D023981:Sarcoma, Myeloid / Q000000981:diagnostic imaging / Q000473:pathology*; D014463:Ultrasonography