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Leukemic Miliary Nodules in the Retina
TOICHIRO KUWABARA, MD;
LLOYD AIELLO, MD
Arch Ophthalmol. 1964;72(4):494-497.
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Leukemia is frequently manifest in ocular tissue by retinal hemorrhages, leukemic cells in blood vessels, and occasionally by diffuse infiltration of the choroid. Proliferation of leukemic cells in the retina has been rarely observed. The present report concerns tumor proliferation in the retinas of a patient with chronic myelogenic leukemia.
Report of Case
The patient (No. 111-29-48, Howe Laboratory 63-611) was a 60-year-old mechanic who had observed a mass in the left upper quadrant of his abdomen five years previously. Hematologic examination revealed chronic myelogenic leukemia with a white blood cell count of 23,000. Splenectomy and busulfan (Myleran) administration controlled the white cell count, and the patient was asymptomatic until two months prior to death. His white cell count then rose to 57,000, and he was readmitted to the hospital. Despite repeated transfusions he became cachectic and died. The eyes were removed three hours post mortem.
On opening the
. . . [Full Text PDF of this Article]
Author Affiliations
Boston
Howe Laboratory of Ophthalmology, Harvard University Medical School, Massachusetts Eye and Ear Infirmary.
Footnotes
Read before the Eastern Section of the Ophthalmic Pathology Club, Miami, Fla, Jan 24, 1964.
This investigation was supported by PHS research grant No. NB-03015 from the Institute of Neurological Diseases and Blindness, Public Health Service.
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