粒细胞瘤是急性和慢性粒细胞白血病的罕见并发症,它虽常累及骨髓和神经周围组织,但也可在皮肤、胸壁、心包、眼、乳房、胃肠道、淋巴结、肝、脾和卵巢等局部形成肿块。作者报告1例急性粒细胞白血病(AML)伴颈神经病损的原粒细胞瘤。患者,男,25岁。入院前1.5个月右肩胛骨上方和右上胸椎旁疼痛,继之出现C_7、C_8支配的右手、前臂感觉异常,右腕、指、肘进行性伸展无力。入院时检查无肝、脾和淋巴结肿大,右三头肌、腕、手指和伸肌运动明显减弱,右三头肌反射消失;右三头肌和前臂肌肉萎缩,无脊髓压迫症表现。血片中原粒细胞占 Granulocytoma is a rare complication of acute and chronic myelogenous leukemia. Although it often affects the bone marrow and surrounding tissues, it can also be found in the skin, chest wall, pericardium, eye, breast, gastrointestinal tract, lymph nodes, liver, spleen and ovary Other local formation of lumps. The authors report 1 case of acute myeloid leukemia (AML) with cervical neuropathic myeloma. Patient, male, 25 years old. 1.5 months before admission, right above the scapula and right upper thoracic pain, followed by C_7, C_8 dominated right hand, forearm sensory abnormalities, right wrist, fingers, elbows progressive extensibility. Admission examination without liver, spleen and lymph nodes, right triceps, wrists, fingers and extensor movement was significantly weakened, the right triceps reflex disappeared; right triceps and forearm muscle atrophy, no spinal cord compression symptoms. Blood cells in the original number of granulocytes