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Scarfì F, Magnaterra E, Santini S, Taviti F. Klinefelter syndrome and cutaneous localization of diffuse large B cell lymphoma: a real connection or a casual association? Dermatol Reports 2024; 16:9812. [PMID: 39290557 PMCID: PMC11404541 DOI: 10.4081/dr.2023.9812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 08/23/2023] [Indexed: 09/19/2024] Open
Abstract
Diffuse large B cell lymphoma (DLBCL) is a common aggressive subtype of non-Hodgkin lymphoma, accounting for nearly 30-40% of all cases. This condition can affect the skin both primarily and secondarily. Herein we report a clinical and dermoscopic case of skin metastasis of DLBCL in a patient with Klinefelter Syndrome.
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Affiliation(s)
- Federica Scarfì
- Dermatology Unit, Toscana Centro Local Health Unit, Prato Hospital
- Section of Dermatology, Department of Health Sciences, University of Florence
| | - Elisabetta Magnaterra
- Dermatology Unit, Toscana Centro Local Health Unit, Prato Hospital
- Section of Dermatology, Department of Health Sciences, University of Florence
| | - Simone Santini
- Hematology and Oncohematology Unit, Toscana Centro Local Health Unit, Prato Hospital, Italy
| | - Franca Taviti
- Dermatology Unit, Toscana Centro Local Health Unit, Prato Hospital
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Taleb E, Yélamos O, Ardigo M, Christensen RE, Geller S. Non-invasive Skin Imaging in Cutaneous Lymphomas. Am J Clin Dermatol 2024; 25:79-89. [PMID: 37964050 PMCID: PMC10842086 DOI: 10.1007/s40257-023-00824-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2023] [Indexed: 11/16/2023]
Abstract
The diagnosis of cutaneous lymphomas is challenging and requires skin tissue for histology and immunophenotyping using immunohistochemistry and molecular studies. In recent years, the role of non-invasive imaging techniques has been described as part of the clinical assessment of cutaneous lymphoma lesions. Imaging modalities such as dermoscopy, reflectance confocal microscopy (RCM), and high frequency ultrasound (HFUS) have been shown to be very valuable in raising the clinical suspicion for lymphomas of the skin, and in distinguishing cutaneous lymphomas from inflammatory dermatoses such as lupus, psoriasis, or eczema. These non-invasive methods can be used to direct the clinician to the optimal biopsy site to maximize the histopathological results and minimize false negatives. These methods also have a potential place in monitoring treatment response. In this review we present a concise summary of the dermoscopic imaging, RCM, and HFUS features seen in cutaneous T-cell lymphomas (CTCL) and B-cell lymphomas (CBCL).
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Affiliation(s)
- Eyal Taleb
- Division of Dermatology, Tel Aviv Sourasky Medical Center and Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Oriol Yélamos
- Dermatology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
- Institut d'Investigació Biomèdica Sant Pau (IIB, SANT PAU), Barcelona, Spain
| | - Marco Ardigo
- San Gallicano Dermatological Institute IRCCS, Rome, Italy
- Dermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, MI, Italy
| | - Rachel E Christensen
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 530 East 74th Street, New York, NY, 10021, USA
| | - Shamir Geller
- Division of Dermatology, Tel Aviv Sourasky Medical Center and Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 530 East 74th Street, New York, NY, 10021, USA.
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Saad S, Fetoui NG, Rouatbi J, Mokni S, Ghariani N, Sriha B, Denguezli M. Cutis verticis gyrata in a 24-year-old young man revealing a T-cell lymphoblastic lymphoma. Clin Case Rep 2022; 10:e6403. [PMID: 36237939 PMCID: PMC9536495 DOI: 10.1002/ccr3.6403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 08/18/2022] [Accepted: 09/20/2022] [Indexed: 11/09/2022] Open
Abstract
T-cell lymphoblastic lymphoma (T-LBL) is frequently revealed by amediastinal mass or peripheral lymphadenopathy. Skin lesions in T-LBLusually present as multiple nodules associated with multiple peripherallymphadenopathy and bone marrow invasion. Our patient is particular bythe revealing presentation of the lesions as Cutis verticis gyrate.
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Affiliation(s)
- Sarra Saad
- Department of DermatologyFarhat Hached University HospitalSousseTunisia
| | | | - Jacem Rouatbi
- Department of AnatomopathologyFarhat Hached University HospitalSousseTunisia
| | - Sana Mokni
- Department of DermatologyFarhat Hached University HospitalSousseTunisia
| | - Najet Ghariani
- Department of DermatologyFarhat Hached University HospitalSousseTunisia
| | - Baderedine Sriha
- Department of AnatomopathologyFarhat Hached University HospitalSousseTunisia
| | - Mohamed Denguezli
- Department of DermatologyFarhat Hached University HospitalSousseTunisia
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Wojewoda K, Gillstedt M, Englund H, Ali S, Lewerin C, Osmancevic A. Diagnostic Outcomes and Treatment Modalities in Patients with Mycosis Fungoides in West Sweden—A Retrospective Register-Based Study. Cancers (Basel) 2022; 14:cancers14194661. [PMID: 36230583 PMCID: PMC9563600 DOI: 10.3390/cancers14194661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/12/2022] [Accepted: 09/20/2022] [Indexed: 11/21/2022] Open
Abstract
Simple Summary Mycosis fungoides (MF) is a rare and incurable disease, but there are a wide variety of treatment options. Since the condition is rare, only a few studies have been performed on this topic in Sweden. This study contributes to the knowledge of the epidemiological and clinical features and diagnostic findings in addition to the treatment modalities and responses in patients with diagnosed MF and/or followed up for a long period of time in Sweden. The results of this study can be used to improve clinical practice and stimulate future research. Abstract (1) Background: Mycosis fungoides (MF) is a variant of primary cutaneous T-cell lymphoma. The aim of this study was to describe the clinical features and epidemiological and diagnostic findings in addition to the treatment modalities and responses in patients with MF. Furthermore, comparisons between patients in the early stage and the advanced stage were evaluated. (2) Methods: A retrospective register-based study based on data collected from the primary cutaneous lymphoma register and medical records was performed at the Department of Dermatology and Venerology at Sahlgrenska University Hospital, Gothenburg, Sweden. (3) Results: Eighty-four patients with a median age of 55 years with MF were included. Most of the patients (n = 73) were diagnosed at the early stage of the disease (IA–IIA). Overall disease progression was seen in 12.5% (n = 9) of the patients. Nine (10.7%) patients were deceased, out of which four (4.8%) deaths were associated with MF-related causes. (4) Conclusions: This study contributes to the knowledge of the epidemiological and clinical features in addition to the diagnostic findings and treatment responses in patients with MF in Sweden.
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Affiliation(s)
- Karolina Wojewoda
- Department of Dermatology and Venereology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, 413 46 Gothenburg, Sweden
- Department of Dermatology and Venereology, Sahlgrenska University Hospital, Region Västra Götaland, 413 46 Gothenburg, Sweden
- Correspondence:
| | - Martin Gillstedt
- Department of Dermatology and Venereology, Sahlgrenska University Hospital, Region Västra Götaland, 413 46 Gothenburg, Sweden
| | - Hanna Englund
- Department of Dermatology and Venereology, Sahlgrenska University Hospital, Region Västra Götaland, 413 46 Gothenburg, Sweden
| | - Shada Ali
- Department of Dermatology and Venereology, Sahlgrenska University Hospital, Region Västra Götaland, 413 46 Gothenburg, Sweden
| | - Catharina Lewerin
- Section of Hematology and Coagulation, Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, 413 46 Gothenburg, Sweden
| | - Amra Osmancevic
- Department of Dermatology and Venereology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, 413 46 Gothenburg, Sweden
- Department of Dermatology and Venereology, Sahlgrenska University Hospital, Region Västra Götaland, 413 46 Gothenburg, Sweden
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Wang HXE, Tang PY, Oh CC. Dermoscopic features of cutaneous post-transplant lymphoproliferative disorder in a renal transplant recipient. JAAD Case Rep 2022; 27:9-12. [PMID: 35959092 PMCID: PMC9361210 DOI: 10.1016/j.jdcr.2022.06.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
| | - Po Yin Tang
- Department of Pathology, Singapore General Hospital, Singapore
| | - Choon Chiat Oh
- Department of Dermatology, Singapore General Hospital, Singapore
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Pearls and updates: cutaneous signs of systemic malignancy. Curr Opin Pediatr 2022; 34:367-373. [PMID: 35794009 DOI: 10.1097/mop.0000000000001152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE OF REVIEW Children with systemic malignancies can present with concomitant dermatological manifestations. Cutaneous findings can occur before, during or after diagnosis. Recognizing these features can aid in diagnosis, inform prognosis, and help determine appropriate treatment. Following a review of the literature published over the past two years, we provide an update on cutaneous signs of pediatric systemic malignancies, concentrating on; leukemia cutis, lymphoma cutis, neuroblastoma, sarcomas, Langerhans cell histiocytosis and paraneoplastic syndromes. RECENT FINDINGS Authors highlight the persistently heterogeneous features of cutaneous manifestations of systemic malignancy. Findings are often nonspecific, and a definitive diagnosis requires skin biopsy with immunophenotyping. Several studies describe dermoscopy features, demonstrating this as a useful tool in clinical evaluation. Genetic mutations underlying the pathogenesis of disease continue to be elucidated. Further, advances in medical treatment led to improved prognosis in many systemic malignancies, with early and aggressive treatment heralding better outcomes. SUMMARY Comprehensive cutaneous evaluation alongside thorough clinical history and review of systems remains of paramount importance as dermatological manifestations of systemic malignancy are notoriously variable with a shared feature of often appearing benign but persisting despite usual treatment. Urgent referral to dermatology is recommended when suspicion for any cutaneous presentation of malignancy arises.
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Fukushiro M, Chinuki Y, Ota M, Honda S, Yamasaki O. Reddish Tumour with Scar on the Right Thigh: A Quiz. Acta Derm Venereol 2022; 102:adv00747. [PMID: 35535643 PMCID: PMC9593490 DOI: 10.2340/actadv.v102.2456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
| | - Yuko Chinuki
- Department of Dermatology, Shimane University Faculty of Medicine, 89-1 Enya-cho, Izumo, Shimane 693-8501, Japan.
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Errichetti E, Apalla Z, Geller S, Sławińska M, Kyrgidis A, Kaminska‐Winciorek G, Jurakic Toncic R, Bobos M, Rados J, Ledic Drvar D, Ceovic R, Akay BN, Piccolo V, Myskowski P, Vitiello P, Russo T, Argenziano G, Sokołowska‐Wojdyło M, Sobjanek M, Stoikovic‐Filipovic J, Longo C, Pellacani G, Stinco G, Lallas A. Dermoscopic spectrum of mycosis fungoides: a retrospective observational study by the International Dermoscopy Society. J Eur Acad Dermatol Venereol 2022; 36:1045-1053. [DOI: 10.1111/jdv.18078] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 02/22/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Enzo Errichetti
- Institute of Dermatology Department of Medicine University of Udine Udine Italy
| | - Zoe Apalla
- Second Department of Dermatology Aristotle University Thessaloniki Greece
| | - Shamir Geller
- Dermatology Service Department of Medicine Memorial Sloan Kettering Cancer Center New York USA
- Division of Dermatology Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University Tel Aviv Israel
| | - Martyna Sławińska
- Department of Dermatology, Venereology and Allergology Faculty of Medicine Medical University of Gdańsk Poland
| | - Athanassios Kyrgidis
- Department of Oral & Maxillofacial surgery Aristotle University Thessaloniki Greece
| | - Grażyna Kaminska‐Winciorek
- Department of Bone Marrow Transplantation and Onco‐Hematology Maria Sklodowska‐Curie National Research Institute of Oncology (MSCNRIO) Gliwice Poland
| | - Ruzica Jurakic Toncic
- University Department of Dermatology and Venereology University Hospital Centre and School of Medicine Zagreb Croatia
| | - Mattheos Bobos
- Department of Biomedical Sciences School of Health Sciences International Hellenic University Alexandrian Campus Sindos, Thessaloniki Greece
| | - Jaka Rados
- University Department of Dermatology and Venereology University Hospital Centre and School of Medicine Zagreb Croatia
| | - Daniela Ledic Drvar
- University Department of Dermatology and Venereology University Hospital Centre and School of Medicine Zagreb Croatia
| | - Romana Ceovic
- University Department of Dermatology and Venereology University Hospital Centre and School of Medicine Zagreb Croatia
| | | | | | - Patricia Myskowski
- Dermatology Service Department of Medicine Memorial Sloan Kettering Cancer Center New York USA
| | | | - Teresa Russo
- Dermatology Unit University of Campania Naples Italy
| | | | | | - Michał Sobjanek
- Department of Dermatology, Venereology and Allergology Faculty of Medicine Medical University of Gdańsk Poland
| | - Jelena Stoikovic‐Filipovic
- Clinic of Dermatology and Venereology Clinical Center of Serbia Department of Dermatology Faculty of Medicine University of Belgrade Belgrade Serbia
| | - Caterina Longo
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
- Azienda Sanitaria Locale IRCCS di Reggio Emilia Centro Oncologico ad Alta Tecnologia Diagnostica‐Dermatologia Reggio Emilia Italy
| | - Giovanni Pellacani
- Dermatology Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences University La Sapienza Rome
| | - Giuseppe Stinco
- Institute of Dermatology Department of Medicine University of Udine Udine Italy
| | - Aimilios Lallas
- First Department of Dermatology Aristotle University Thessaloniki Greece
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Chiu LW, Su YC, Hu SCS. Dermoscopic findings in a patient with cutaneous plasmacytoma. Australas J Dermatol 2022; 63:e177-e179. [PMID: 35103310 DOI: 10.1111/ajd.13792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 10/21/2021] [Accepted: 12/12/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Li-Wen Chiu
- Department of Dermatology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,Department of Dermatology, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Yue-Chiu Su
- Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Stephen Chu-Sung Hu
- Department of Dermatology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,Department of Dermatology, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Dermatology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan.,Department of Biotechnology, College of Life Science, Kaohsiung Medical University, Kaohsiung, Taiwan
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Dermatoscopy of nodular/plaque-type primary cutaneous T- and B-cell lymphomas: A retrospective comparative study with pseudolymphomas and tumoral/inflammatory mimickers by the International Dermoscopy Society. J Am Acad Dermatol 2021; 86:774-781. [PMID: 34695527 DOI: 10.1016/j.jaad.2021.10.020] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 10/08/2021] [Accepted: 10/12/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Limited data on dermatoscopy of nodular/plaque-type T-/B-cell primary cutaneous lymphomas (PCLs) is available. OBJECTIVE To describe dermatoscopic features of nodular/plaque-type PCLs, comparing them with those of clinical mimickers (pseudolymphomas, tumors, and inflammatory lesions) and investigating possible differences according to histologic subtypes. METHODS Participants were invited to join this retrospective, multicenter case-control study by submitting histologically/immunohistochemically confirmed instances of nodular/plaque-type PCLs and controls. Standardized assessments of the dermatoscopic images and comparative analyses were performed. RESULTS A total of 261 lesions were included (121 PCLs and 140 controls). Orange structureless areas were the strongest PCL dermatoscopic predictor on multivariate analysis compared with tumors and noninfiltrative inflammatory dermatoses. On the other hand, a positive association was found between PCLs and either unfocused linear vessels with branches or focal white structureless areas compared with infiltrative inflammatory dermatoses, whereas white lines were predictive of PCLs over pseudolymphomas. Differences in the vascular pattern were also seen between B- and T-cell PCLs and among B-cell PCL subtypes. LIMITATIONS Retrospective design and the lack of a dermatoscopic-pathologic correlation analysis. CONCLUSION Nodular/plaque-type PCLs display dermatoscopic clues, which may partially vary according to histologic subtype and whose diagnostic relevance depends on the considered clinical differential diagnoses.
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