title: Chloroma of pancreas-initial manifestation of a secondary leukemia after stem cell transplantation case report and review of the literature.
abstract: BACKGROUND
  Chloroma is an extramedullary solid tumor consisting of immature myeloid cells.
  
  
  METHODS
  We report a patient with painless jaundice 6 years after allogeneic peripheral stem cell transplantation because of an acute myeloid leukemia leading us to the diagnosis of a chloroma of the pancreas as the first manifestation of a secondary host leukemia.
  
  
  CONCLUSIONS
  A histological examination of unclear pancreatic tumors should be mandatory in patients with a history of leukemia. If surgical therapy is unavoidable because of stenosis symptoms or for histological proof, a resection should be avoided.
  
  
  CONCLUSIONS
  Bypass surgery can ease the symptoms and it allows timely curative chemotherapy or stem cell transplantation.
authors: Department of Visceral Surgery, Pius-Hospital Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany. ntabriz@gmx.de
authors: Navid
authors: N
authors: Tabriz
authors: Andrea
authors: A
authors: Tannapfel
authors: Frank
authors: F
authors: Griesinger
authors: Dirk
authors: D
authors: Weyhe
mesh_terms: D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000175:diagnosis / Q000209:etiology*; D010190:Pancreatic Neoplasms / Q000209:etiology*; D023981:Sarcoma, Myeloid / Q000209:etiology*; D033581:Stem Cell Transplantation / Q000009:adverse effects*