An unusual case of chloroma (granulocytic sarcoma) of the cranium with
involvement of underlaying dura and presenting as an intracranial spa
ce occupying lesion, with no systemic evidence of myeloid leukaemia, i
s reported. Operative removal was followed by local radiation. The pat
ient is well and no systemic evidence of leukaemia has been manifested
nearly 4 years after operation, The literature is reviewed. (C) Pears
on Professional Ltd 1997.