A Case of Leukemia Cutis in an Inguinal Herniorraphy Scar

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Author Info

Antonio Moral Duarte Elena Pareja Nieto Ivette Tort Estruch Jing Huang Ye Zhou José Antonio González López

Corresponding Author

Ivette Tort Estruch
General and Digestive Surgery Department, Hospital de la Santa Creu i de Sant Pau, Barcelona, Spain

A B S T R A C T

Leukemia cutis refers to the infiltration of the skin with leukemia cells. It is a rare extramedullary manifestation of leukemia, but it is a specific sign of disease progression and bad prognosis. Cases of leukemia cutis in sites of skin trauma or surgical scars have been described, but there are very few cases reported in literature. We report a case of a 65-year-old male previously diagnosed with chronic myelomonocytic leukemia that was showing clinical signs of progression to acute myeloid leukemia. He underwent right inguinal herniorrhaphy three months before and was showing poor wound healing. Surgical site infection was suspected, since blood tests showed prolonged neutropenia, so surgical wound debridement was performed. Pathological findings of removed tissue indicated infiltration by leukemic cells, which led to the diagnosis of leukemia cutis, not suspected until that moment. Therefore, we conclude that an exhaustive skin examination (especially in the presence of skin trauma or surgical scars), should be performed in patients with confirmed or suspected diagnosis of leukemia. Moreover, the possible diagnosis of leukemia cutis should be considered in leukemia patients who present cutaneous infectious complications or suboptimal healing following accidental skin trauma or surgery. In these cases, complementary anatomopathological studies should be performed.

Article Info

Article Type

Case Report

Publication history

Received: Wed 20, May 2020
Accepted: Sat 06, Jun 2020
Published: Fri 19, Jun 2020

Copyright

© 2023 Ivette Tort Estruch. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.06.12