An interesting case of backache due to AML

Metastatic epidural spinal cord compression (MESCC) is a devastating complication of cancer seen in 5 to 15 of patients. MESCC due to AML is a rare event. We report a case of 24 year old female who presented with severe backache due to MESCC caused by chloroma due to AML M4. Granulocytic sarcomas also known as the chloroma are rare extramedullary tumor-like proliferates of myelogenous precursor cells that may precede acute leukaemia or may be the first manifestation or relapse of acute myeloid leukaemia. Chloroma is a uncommon presenting manifestation of undiagnosed AML, but only rarely it is the primary clinical manifestation. MESCC caused by chloromas due to AML is very uncommon in adults.