British Journal of Oral and Maxillofacial Surgery
Volume 26, Issue 2 , Pages 124-128, April 1988

Maxillary chloroma: a myeloid leukaemic deposit

  • G.R. Barker, M.Sc., F.D.S.R.C.S., F.R.C.S.(Ed.)

      Affiliations

    • Present address: Department of Oral Surgery, Medicine & Pathology, University of Wales College of Medicine, Dental School, Heath Park, Cardiff CF4 4XY.
    • ,
  • P. Sloan, Ph.D., B.D.S., M.RX.Path.

      Affiliations

    • Department of Oral and Maxillofacial Surgery, Manchester University Dental School, Higher Cambridge Street, Manchester MI5 6SH, USA
    • Department of Oral Medicine, Manchester University Dental School, Higher Cambridge Street, Manchester MI5 6SH, USA

Received 8 October 1986; accepted 20 December 1986.

Abstract 

A chloroma is described in the left quadrant of the maxilla in a 4-year-old girl. This patient had previously completed a course of chemotherapy for acute myeloid leukaemia, but had been off all drug therapy and in remission for 1 year prior to presentation. Chloroma is a well recognised, if uncommon, mode of presentation of acute myeloblastic leukaemia and a previous case of chloroma occurring in the mandibular gingival tissues has been reported (Reichart et at., 1984). An unusual feature in the present case is the appearance of the chloroma as a form of leukaemic relapse and as a solitary deposit which is itself uncommon in acute myeloblastic leukaemia.

It is suggested that this chloroma was a leukaemic deposit which had spread from within the maxillary antrum or the tissues adjacent to the meninges.

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PII: 0266-4356(88)90006-X

British Journal of Oral and Maxillofacial Surgery
Volume 26, Issue 2 , Pages 124-128, April 1988

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