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Here we describe a 30\u2010year\u2010old female with AML\u2010M1 who presented to the hematology department with bilateral breast pain and tenderness. Available diagnostic measures including ultrasound of breast and magnetic resonance imaging were used to determine the nature of these breast lumps. MS was definitively diagnosed via biopsy and the patient was treated with systemic chemotherapy. Despite her AML treatment she unfortunately died secondary to disease progression. The authors consider this case of particular educational value due to the bilateral and aggressive nature of this patient\u2019s disease in the setting of a cancer\u2010care facility with limited resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>In retrospect, if breast MS had been considered earlier in this patient\u2019s presentation, a referral to an outside center with matched stem cell transplantation capability may have been warranted after complete remission following first bone marrow relapse, rather than continuing chemotherapy alone. <\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.2407","type":"journal-article","created":{"date-parts":[[2019,9,16]],"date-time":"2019-09-16T10:40:21Z","timestamp":1568630421000},"page":"2022-2026","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Challenges associated with limited\u2010resources cancer care facility: Bilateral breast myeloid sarcoma as an example"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6265-2520","authenticated-orcid":false,"given":"Najmaddin","family":"Khoshnaw","sequence":"first","affiliation":[{"name":"Department of Hematology Hiwa Cancer Hospital Sulaymaniyah Kurdistan Iraq"},{"name":"Program of Hematology Kurdistan Board of Medical Specialties Erbil Kurdistan Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed K.","family":"Yassin","sequence":"additional","affiliation":[{"name":"Program of Hematology Kurdistan Board of Medical Specialties Erbil Kurdistan Iraq"},{"name":"Department of Medicine College of Medicine Hawler Medical University Erbil Kurdistan Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa F.","family":"Alwan","sequence":"additional","affiliation":[{"name":"Department of Clinical Hematology National Center of Hematology Mustansiriyah University Baghdad Baghdad 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