FATAL MISDIAGNOSIS OF ISOLATED CERVICAFACIAL MYELOID SARCOMA IN A YOUNG ADULT: CASE REPORT

Introduction: Myeloid sarcoma is a rare extramedullary manifestation of acute myeloid leukemia. Its isolated cervicofacial presentation is exceptional and often misdiagnosed.

Case Presentation: We report a case of a 19-year-old male with no significant medical history presenting with a rapidly growing cervicofacial mass initially treated as a dental abscess. Despite multiple dental interventions, there was no improvement. Histopathological examination of a biopsy specimen revealed myeloid sarcoma. Unfortunately, due to financial constraints and delayed hematological management, the patient died before initiation of chemotherapy.

Discussion: This case underscores the diagnostic challenge posed by atypical head and neck presentations of hematological malignancies. Immediate biopsy and immunophenotyping are essential. Socioeconomic barriers can have fatal consequences in such aggressive neoplasms.

Conclusion: Awareness of rare manifestations of hematological diseases is essential for early diagnosis and timely intervention.