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Primary Cutaneous B-Cell Lymphoma Co-Existing with Mycosis Fungoides-A Case Report and Overview of the Literature. LIFE (BASEL, SWITZERLAND) 2022; 12:life12122067. [PMID: 36556432 PMCID: PMC9785996 DOI: 10.3390/life12122067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 11/25/2022] [Accepted: 12/07/2022] [Indexed: 12/13/2022]
Abstract
The existence of two sequential lymphomas, one localized and one systemic, either both with B or T lymphocytes, or one with B cells and one with T cells, with the same patient, is a known possibility. The second lymphoma is often induced by immunodepression or by the initial treatment. However, the existence of two cutaneous lymphomas with different cell lines, without systemic involvement, represents an uncommon situation. In this report, we describe the case of a 37-year-old man with an initial diagnosis of PMZBCL that over 10 months also developed a MF patch/plaque on the left leg.
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Ardeleanu V, Moroianu LA, Sava A, Tebeica T, Jecan RC, Moroianu M, Tatu AL. Surgical, Dermatological and Morphopathological Considerations in the Diagnosis and Treatment of Cutaneous Lymphoproliferative Tumors, Primary CD4. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:1618. [PMID: 36363575 PMCID: PMC9692388 DOI: 10.3390/medicina58111618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 10/18/2022] [Accepted: 11/08/2022] [Indexed: 11/12/2022]
Abstract
Primary cutaneous lymphomas are a heterogeneous group of T-cell (CTCL) and B-cell lymphomas (CBCL) developing in the skin and without signs of extracutaneous disease at the time of diagnosis. The term "primary small/medium CD4+ T-cell lymphoma" was changed to "primary small/medium cutaneous CD4+ lymphoproliferative disorder" due to its indolent clinical behavior and uncertain malignant potential. This paper presents a rare case of primary cutaneous lymphoma with small to medium CD4+ T-cells. A 37-year-old patient presented with a tumor in the frontal region that had occurred approximately 8-9 months earlier. The tumor had a diameter of about 8-9 mm, well demarcated macroscopically, it was round in shape, about 6-7 mm high, pink in color, firm in consistency and painless during palpation. Surgical excision of the tumor was performed with a margin of safety of 8 mm and deep to the level of the frontal muscle fascia. The histopathological examination supported the diagnosis of cutaneous lymphoproliferation with a nodular disposition in the reticular dermis and extension around the follicular epithelia and sweat glands, composed mainly of dispersed medium-large lymphocytes. Additional immunohistochemical examination was requested. Immunohistochemical examination confirmed the diagnosis of "primary cutaneous CD4+ small/medium T-cell lymphoproliferative disorder." Patient monitoring was carried out through clinical dermatological controls at 3, 6, and 12 months. After one year, a cranio-cerebral MRI was performed. For the following 5 years, an annual dermatological examination accompanied by cranio-cerebral MRI, blood count, and pulmonary X-ray were recommended. Similarly to all solitary skin lesions, the prognosis is excellent in this case, the only treatment being surgical excision.
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Affiliation(s)
- Valeriu Ardeleanu
- Doctoral School, Faculty of Medecine, “Ovidius” University, 1 University Alley Street, Corp B, 900470 Constanta, Romania
- General Hospital “Căi Ferate”, 4-6 Alexandru Morutzi Street, 800223 Galați, Romania
- Arestetic Clinic, 78 Brailei Street, BR4A, 800108 Galați, Romania
- Faculty of Kinesiotherapy, University “Dunărea de Jos”, 47 Domnească Street, 800008 Galați, Romania
| | - Lavinia-Alexandra Moroianu
- “Elisabeta Doamna” Psychiatry Hospital, 290 Traian Street, 800179 Galați, Romania
- Clinical Medical Department, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University, 47 Domnească Street, 800008 Galați, Romania
| | - Anca Sava
- Department of Morpho-Functional Sciences I, Faculty of Medicine, University of Medicine and Pharmacy “Gr. T. Popa”, 16 Universitatii Street, 700115 Iasi, Romania
- Department of Pathology, “Prof. Dr. Nicolae Oblu” Emergency Clinical Hospital, 2 Ateneului Street, 700309 Iasi, Romania
| | - Tiberiu Tebeica
- Leventer Medical Center, 8 Monetariei Street, 011216 Bucharest, Romania
| | - Radu Cristian Jecan
- Department of Plastic Surgery and Reconstructive Microsurgery, “Carol Davila” University of Medecine and Pharmacy, 8 Eroii Sanitari Street, 050474 Bucharest, Romania
- Clinical Department of Plastic Surgery and Reconstructive Microsurgery, “Prof. Dr. Agrippa Ionescu” Emergency Clinical Hospital, 7 Architect Ion Mincu Street, 011356 Bucharest, Romania
| | - Marius Moroianu
- Department of Dental Medicine, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University, 47 Domnească Street, 800008 Galați, Romania
- Medical Assistance Service of the Municipality of Galați, 97 Traian Street, 006757 Galați, Romania
| | - Alin Laurentiu Tatu
- Clinical Medical Department, Faculty of Medicine and Pharmacy, “Dunărea de Jos” University, 47 Domnească Street, 800008 Galați, Romania
- Dermatology Department, “Sfanta Cuvioasa Parascheva” Clinical Hospital of Infectious Diseases, 393 Traian Street, 800179 Galați, Romania
- Multidisciplinary Integrated Center of Dermatological Interface Research MIC-DIR (Centrul Integrat Multidisciplinar de Cercetare de Interfata Dermatologica—CIM-CID), “Dunărea de Jos” University, 47 Domnească Street, 800008 Galați, Romania
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Xu Z, Margolskee E, Villasenor-Park J, Rubin AI, Khurana MC. A healthy 16-year-old boy presenting with multifocal asymptomatic subcutaneous nodules. Pediatr Dermatol 2022; 39:e8-e10. [PMID: 35106821 DOI: 10.1111/pde.14854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Ziyang Xu
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Elizabeth Margolskee
- Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.,Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | | | - Adam I Rubin
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.,Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.,Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA.,Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.,Section of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Michele C Khurana
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.,Section of Pediatric Dermatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
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