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April 1932


Arch Otolaryngol. 1932;15(4):610-616. doi:10.1001/archotol.1932.03570030629012

The physician particularly interested in diseases of the head not infrequently encounters manifestations of hematopoietic disease in that part of the body. Thus he may meet with hemorrhage from the nasal and oral mucous surfaces in the various blood dyscrasias, ulcerative angina in agranulocytosis or infiltration of the lymphatic tissue in Waldeyer's ring and its associated lymph nodes in cases of leukemia.

In remote instances he may encounter a more bizarre type of leukemia, known as chloroma. The latter disease occurs but rarely and characteristically invades the cranial bones and their cavities, producing both solid and fluid tumor masses which frequently present a greenishtint. These lesions simulate the appearances of suppurative or malignant disease of the orbits, ears and sinuses. Because of the peculiar green color, the name chloroma has been given to it.

Useless operative procedures may be instituted if the condition is not previously recognized