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Chaudhry N, Qureshi A, Gollamudi S, Kasbawala K, Clopton BJ, Moore C, Genato R, Xiao P, Asarian A. An unusual case of B-cell lymphoma of the scalp. J Surg Case Rep 2023; 2023:rjad639. [PMID: 38045789 PMCID: PMC10690010 DOI: 10.1093/jscr/rjad639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 11/03/2023] [Indexed: 12/05/2023] Open
Abstract
B-cell lymphoma is a lymphoproliferative non-Hodgkin lymphoma arising from B cells, a type of immune lymphocytes that produces antibodies in the follicles of lymph nodes. Primary cutaneous B-cell lymphoma (PCBCL), a subtype of B cell lymphoma, originates within cutaneous tissue without evidence of extracutaneous involvement. There are very few reports of PCBCLs originating in the scalp. The most common tumors of the scalp are usually benign with only 1%-2% being malignant, most being basal cell carcinoma, squamous cell carcinoma, or melanoma. Primary cutaneous follicular cell lymphoma (PCFCL) is regarded as the most common lymphoma of the skin with an indolent course and favorable prognosis due to the response rate to treatment methods such as surgical removal with local radiotherapy, topical drugs, and intralesional therapies. This report highlights a rare case of PCFCL originating in the scalp, to raise awareness of a topic that requires continued established management.
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Affiliation(s)
- Nadeem Chaudhry
- Department of Plastic Surgery, The Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United States
| | - Abid Qureshi
- Department of Surgery, The Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United States
| | - Sindhuri Gollamudi
- Department of Internal Medicine, The Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United States
| | - Kinjal Kasbawala
- Department of Surgery, The Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United States
| | - Brittni J Clopton
- Department of Surgery, The Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United States
| | - Colton Moore
- Department of Surgery, The Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United States
| | - Romulo Genato
- Department of Surgery, The Brooklyn Hospital Center, Icahn School of Medicine at Mount Sinai, 121 Dekalb Ave, Brooklyn, NY 11201, United States
| | - Philip Xiao
- Department of Pathology, The Brooklyn Hospital Center, Icahn School of Medicine at Mount Sinai, 121 Dekalb Ave, Brooklyn, NY 11201, United States
| | - Armand Asarian
- Department of Surgery, The Brooklyn Hospital Center, Icahn School of Medicine at Mount Sinai, 121 Dekalb Ave, Brooklyn, NY 11201, United States
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D'Alessandro PR, Lo AC, Spencer MH, Farinha P, Armstrong L, Dolman PJ, Cheng S. Primary cutaneous follicle center lymphoma of the medial canthus of the eye in an 11-year old. Pediatr Blood Cancer 2022; 69:e29630. [PMID: 35234333 DOI: 10.1002/pbc.29630] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 02/09/2022] [Accepted: 02/10/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Paul R D'Alessandro
- Division of Pediatric Hematology/Oncology/BMT, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
| | - Andrea C Lo
- Division of Radiation Oncology and Developmental Radiotherapeutics, Department of Surgery, University of British Columbia, British Columbia Cancer Agency, Vancouver, British Columbia, Canada
| | - Martin H Spencer
- Department of Ophthalmology, Nanaimo Regional General Hospital, Nanaimo, British Columbia, Canada
| | - Pedro Farinha
- Department of Pathology and Laboratory Medicine, British Columbia Cancer Agency, University of British Columbia, Vancouver, British Columbia, Canada
| | - Linlea Armstrong
- Department of Medical Genetics, Children's and Women's Health Centre of BC, University of British Columbia, Vancouver, British Columbia, Canada
| | - Peter J Dolman
- Department of Ophthalmology & Visual Sciences, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada
| | - Sylvia Cheng
- Division of Pediatric Hematology/Oncology/BMT, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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Werner AC, Laver NV, Landmann DS. Primary Cutaneous Follicle Center Lymphoma of the Eyelid: A Case Report and Review of the Literature in Light of Recent Changes to the WHO Classification of Lymphoid Neoplasms. Ocul Oncol Pathol 2019; 5:147-152. [PMID: 30976595 DOI: 10.1159/000491381] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 06/18/2018] [Indexed: 11/19/2022] Open
Abstract
Primary cutaneous follicle center lymphoma (PCFCL) is a unique entity that represents up to 11% of all cutaneous lymphomas. PCFCL is associated with an indolent course and excellent 5-year survival rates, but can progress to secondary systemic involvement if left untreated. Histopathologic features of PCFCL can vary depending on the size, duration, and clinical stage of the lesion, making diagnosis somewhat challenging. Here, we present a case of a 50-year-old woman with an eyelid lesion that was initially classified as an inflamed cyst based on biopsy, but 1 year later, was determined to be PCFCL after repeat biopsy revealed different histology. In light of the recent changes to the WHO classification of lymphoid neoplasms, we review the unique clinical and histopathologic features of PCFCL that distinguish it from other more aggressive forms of cutaneous lymphoma in terms of course, prognosis, and management.
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Affiliation(s)
- Astrid C Werner
- Tufts Medical Center - New England Eye Center, Boston, Massachusetts, USA
| | - Nora V Laver
- Tufts Medical Center - New England Eye Center, Boston, Massachusetts, USA
| | - Dan S Landmann
- Hackensack University Medical Center, Hackensack, New Jersey, USA
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