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Stoll JR, Willner J, Oh Y, Pulitzer M, Moskowitz A, Horwitz S, Myskowski P, Noor SJ. Primary cutaneous T-cell lymphomas other than Mycosis Fungoides and Sezary Syndrome - Part I: Clinical and histologic features and diagnosis. J Am Acad Dermatol 2021; 85:1073-1090. [PMID: 33940098 DOI: 10.1016/j.jaad.2021.04.080] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 04/12/2021] [Accepted: 04/26/2021] [Indexed: 11/11/2022]
Abstract
Primary cutaneous T-cell lymphomas (CTCLs) are defined as lymphomas with a T-cell phenotype that present in the skin without evidence of systemic or extracutaneous disease at initial presentation. CTCLs other than Mycosis Fungoides (MF) and Sézary syndrome (SS) account for approximately one-third of CTCLs and encompass a heterogenous group of non-Hodgkin lymphomas ranging from indolent lymphoproliferative disorders to aggressive malignancies with a poor prognosis. The spectrum of CTCLs continues to broaden as new provisional entities are classified. Given the morphologic and histologic overlap among CTCLs and other diagnoses, a thorough clinical history, physical evaluation, and clinicopathologic correlation are essential in the workup and diagnosis of these rare entities. This article will summarize the epidemiologic, clinical, pathologic, and diagnostic features of CTCLs other than MF and SS.
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Affiliation(s)
| | | | - Yuna Oh
- Memorial Sloan Kettering Cancer Center, New York, NY
| | | | | | | | | | - Sarah J Noor
- Memorial Sloan Kettering Cancer Center, New York, NY.
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2
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Papular eruption characteristic of persistent agmination of lymphomatoid papulosis. J Hematop 2020. [DOI: 10.1007/s12308-020-00386-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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3
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Martinez-Cabriales SA, Walsh S, Sade S, Shear NH. Lymphomatoid papulosis: an update and review. J Eur Acad Dermatol Venereol 2019; 34:59-73. [PMID: 31494989 DOI: 10.1111/jdv.15931] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Accepted: 08/08/2019] [Indexed: 12/13/2022]
Abstract
Lymphomatoid papulosis (LyP) is a benign chronic often relapsing skin condition that belongs to the CD30-positive cutaneous lymphoproliferative disorders. LyP typically presents as crops of lesions with a tendency to self-resolve, and morphology can range from solitary to agminated or diffuse papules and plaques to nodules or tumours. The clinical-histological spectrum can range from borderline cases to overlap with primary cutaneous anaplastic cell lymphoma (pcALCL). Histology and immunophenotype commonly show overlap with other CD30-positive disorders and sometimes may be identical to pcALCL, making its diagnosis more difficult. Patients with LyP have an increased risk of developing a second neoplasm such as mycosis fungoides, pcALCL and/or Hodgkin lymphoma. Clinical correlation allows its proper classification and diagnosis, which is fundamental for treatment and prognosis. This review focuses on the clinical appearance, histopathological features, diagnosis, differential diagnosis and management of LyP.
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Affiliation(s)
- S A Martinez-Cabriales
- Department of Medicine, University of Toronto, Toronto, ON, Canada.,Department of Dermatology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.,Department of Dermatology, Autonomous University of Nuevo Leon, San Nicolas de los Garza, Mexico
| | - S Walsh
- Department of Medicine, University of Toronto, Toronto, ON, Canada.,Department of Dermatology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - S Sade
- Department of Pathology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - N H Shear
- Department of Medicine, University of Toronto, Toronto, ON, Canada.,Department of Dermatology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
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Hathuc VM, Hristov AC, Smith LB. Primary Cutaneous Acral CD8+ T-Cell Lymphoma. Arch Pathol Lab Med 2017; 141:1469-1475. [DOI: 10.5858/arpa.2017-0230-ra] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Primary cutaneous acral CD8+ T-cell lymphoma is a new provisional entity in the 2016 revision of the World Health Organization classification of lymphoid neoplasms. This is a challenging diagnosis because of its rarity, as well as its morphologic and immunophenotypic overlap with other CD8+ cytotoxic lymphoid proliferations. Appropriate classification of this entity is crucial because of its indolent clinical behavior compared with other CD8+ T-cell lymphomas. Knowledge of the clinical setting, sites of involvement, and morphologic features can aid in correct diagnosis. Here, we review the clinical and pathologic features of primary cutaneous acral CD8+ T-cell lymphoma with an emphasis on the differential diagnosis among other C8+ T-cell lymphomas.
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Affiliation(s)
- Vivian M. Hathuc
- From the Sections of Hematopathology (Drs Hathuc and Smith) and Dermatopathology (Dr Hristov) in the Department of Pathology, University of Michigan Medical Center, Ann Arbor
| | - Alexandra C. Hristov
- From the Sections of Hematopathology (Drs Hathuc and Smith) and Dermatopathology (Dr Hristov) in the Department of Pathology, University of Michigan Medical Center, Ann Arbor
| | - Lauren B. Smith
- From the Sections of Hematopathology (Drs Hathuc and Smith) and Dermatopathology (Dr Hristov) in the Department of Pathology, University of Michigan Medical Center, Ann Arbor
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6
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Pruritic red papules of the right flank. Am J Dermatopathol 2015; 37:503-4. [PMID: 25993405 DOI: 10.1097/dad.0000000000000165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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González-López MA, González-Vela MDC, Caballero C, Consuegra G, Fernández-Llaca H, Piris MA. Localized lymphomatoid papulosis. Int J Dermatol 2014; 54:e98-100. [DOI: 10.1111/ijd.12719] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Marcos A. González-López
- Dermatology Service; Hospital Universitario Marqués de Valdecilla; Universidad de Cantabria; Santander Spain
| | | | - Clara Caballero
- Department of Pathology; Hospital Universitario Marqués de Valdecilla; Universidad de Cantabria; Santander Spain
| | - Germana Consuegra
- Dermatology Service; Hospital Universitario Marqués de Valdecilla; Universidad de Cantabria; Santander Spain
| | - Héctor Fernández-Llaca
- Dermatology Service; Hospital Universitario Marqués de Valdecilla; Universidad de Cantabria; Santander Spain
| | - Miguel A. Piris
- Department of Pathology; Hospital Universitario Marqués de Valdecilla; Universidad de Cantabria; Santander Spain
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Kluger N. Tattoos and coincidental skin conditions: the example of lymphomatoid papulosis. Br J Dermatol 2014; 171:1561. [PMID: 24841722 DOI: 10.1111/bjd.13120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- N Kluger
- Department of Dermatology, Allergology and Venereology Institute of Clinical Medicine University of Helsinki and Skin and Allergy Hospital Helsinki University Central Hospital, Meilahdentie 2, P.O. Box 160, FIN-00029 HUS, Helsinki, Finland.
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9
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Wang T, Guo C, Xu CC, Zhou XP, Liu YH, Zheng HY. Regional lymphomatoid papulosis in association with pseudoepitheliomatous hyperplasia: 13 years follow-up. J Eur Acad Dermatol Venereol 2014; 29:1853-4. [PMID: 24841636 DOI: 10.1111/jdv.12542] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- T. Wang
- Department of Dermatology; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Sciences; Beijing China
| | - C.L. Guo
- Program in Dermatopathology; Department of Pathology; Brigham & Women's Hospital; Harvard Medical School; Boston MA USA
| | - C.-C. Xu
- Department of Dermatology; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Sciences; Beijing China
| | - X.-P. Zhou
- Department of Dermatology; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Sciences; Beijing China
| | - Y.-H. Liu
- Department of Dermatology; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Sciences; Beijing China
| | - H.-Y. Zheng
- Department of Dermatology; Peking Union Medical College Hospital; Peking Union Medical College & Chinese Academy of Medical Sciences; Beijing China
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Chromosomal Rearrangements of 6p25.3 Define a New Subtype of Lymphomatoid Papulosis. Am J Surg Pathol 2013; 37:1173-81. [DOI: 10.1097/pas.0b013e318282d01e] [Citation(s) in RCA: 95] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Errichetti E, Piccirillo A, Ricciuti F, Ricciuti F. Steroid-Resistant Localized Lymphomatoid Papulosis Treated with Local Bath-PUVA Therapy. Indian J Dermatol 2013; 58:163. [PMID: 23716855 PMCID: PMC3657265 DOI: 10.4103/0019-5154.108109] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Enzo Errichetti
- Department of Dermatology, San Carlo Hospital, Potenza, Italy. E-mail:
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Eminger LA, Shinohara MM, Kim EJ, Heymann WR. Clinicopathologic challenge: acral lymphomatoid papulosis. Int J Dermatol 2012; 51:531-4. [DOI: 10.1111/j.1365-4632.2011.05303.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Jiménez-Sánchez MD, Rodríguez-Pichardo A, Ríos-Martín JJ, Camacho-Martínez FM. [Papules and pustules on the knee of a young woman]. ACTAS DERMO-SIFILIOGRAFICAS 2011; 102:379-80. [PMID: 21530932 DOI: 10.1016/j.ad.2011.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2010] [Revised: 01/18/2011] [Accepted: 01/23/2011] [Indexed: 11/17/2022] Open
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Jiménez-Sánchez M, Rodríguez-Pichardo A, Ríos-Martín J, Camacho-Martínez F. Papules and Pustules on the Knee of a Young Woman. ACTAS DERMO-SIFILIOGRAFICAS 2011. [DOI: 10.1016/s1578-2190(11)70821-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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