Primary cutaneous anaplastic large-cell lymphoma presenting with hemophagocytic syndrome: A case report and review of the literature

被引:14
作者
Shimizua, Yoko [1 ]
Tanae, Ken [1 ]
Takahashi, Naoki [1 ]
Kohri, Mika [1 ]
Arai, Eiichi [2 ]
Bessho, Masami [1 ]
Niitsu, Nozomi [1 ]
机构
[1] Saitama Med Univ, Dept Hematol, Ctr Comprehens Canc, Int Med Ctr, Hidaka, Saitama 3501298, Japan
[2] Saitama Med Univ, Dept Pathol, Hidaka, Saitama 3501298, Japan
关键词
Primary cutaneous anaplastic large lymphoma; ALK-negative; Hemophagocytic syndrome; LYMPHOPROLIFERATIVE DISORDERS; FEATURES;
D O I
10.1016/j.leukres.2009.07.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Primary cutaneous anaplastic large-cell lymphoma(C-ALCL) is a rare entity of lymphoma. We report a case of C-ALCL presenting with hemophagocytic syndrome and skin lesion with giant ulcer. Histopathological examination of the skin biopsy specimens showed non-epidermotropic in filtrates with cohesive sheets of large tumor cells. The tumor cells showed CD4-, CD8+, CD30+, CD56-, ALK-, TIA-1+, and granzyme B+. C-ALCL is generally a disorder that progresses slowly and has a good prognosis. Manifestation of a giant ulcer and hemophagocytic syndrome, such as in the present case, is rare. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:263 / 266
页数:4
相关论文
共 13 条
[1]   Primary and secondary cutaneous CD30+ lymphoproliferative disorders:: a report from the Dutch Cutaneous Lymphoma Group on the long-term follow-up data of 219 patients and guidelines for diagnosis and treatment [J].
Bekkenk, MW ;
Geelen, FAMJ ;
Vader, PCV ;
Heule, F ;
Geerts, ML ;
van Vloten, WA ;
Meijer, CJLM ;
Willemze, R .
BLOOD, 2000, 95 (12) :3653-3661
[2]  
BELJAARDS RC, 1993, CANCER, V71, P2097, DOI 10.1002/1097-0142(19930315)71:6<2097::AID-CNCR2820710626>3.0.CO
[3]  
2-7
[4]   Lymphoma-associated hemophagocytic syndrome: clinical features and treatment outcome [J].
Han, A-Reum ;
Lee, Hye Ran ;
Park, Byeong-Bae ;
Hwang, In Gyu ;
Park, Sarah ;
Lee, Sang Cheol ;
Kim, Kihyun ;
Lim, Ho Yeong ;
Ko, Young H. ;
Kim, Sun Hee ;
Kim, Won Seog .
ANNALS OF HEMATOLOGY, 2007, 86 (07) :493-498
[5]   Nationwide survey of hemophagocytic lymphohistiocytosis in Japan [J].
Ishii, Eiichi ;
Ohga, Shouichi ;
Imashuku, Shinsaku ;
Yasukawa, Masaki ;
Tsuda, Hiroyuki ;
Miura, Ikuo ;
Yamamoto, Ken ;
Horiuchi, Hisanori ;
Takada, Kenzo ;
Ohshima, Koichi ;
Nakamura, Shigeo ;
Kinukawa, Naoko ;
Oshimi, Kazuo ;
Kawa, Keisei .
INTERNATIONAL JOURNAL OF HEMATOLOGY, 2007, 86 (01) :58-65
[6]   PRIMARY CUTANEOUS CD30-POSITIVE ANAPLASTIC LARGE-CELL LYMPHOMA - REPORT OF 27 CASES [J].
KRISHNAN, J ;
TOMASZEWSKI, MM ;
KAO, GF .
JOURNAL OF CUTANEOUS PATHOLOGY, 1993, 20 (03) :193-202
[7]   Most primary cutaneous CD30-positive lymphoproliferative disorders have a CD4-positive cytotoxic T-cell phenotype [J].
Kummer, JA ;
Vermeer, MH ;
Dukers, D ;
Meijer, CJLM ;
Willemze, R .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1997, 109 (05) :636-640
[8]   CD30+ cutaneous lymphoproliferative disorders:: The Stanford experience in lymphomatoid papulosis and primary cutaneous anaplastic large cell lymphoma [J].
Liu, HL ;
Hoppe, RT ;
Kohler, S ;
Harvell, JD ;
Reddy, S ;
Kim, YH .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2003, 49 (06) :1049-1058
[9]   CD30/KI-1-POSITIVE LYMPHOPROLIFERATIVE DISORDERS OF THE SKIN - CLINICOPATHOLOGICAL CORRELATION AND STATISTICAL-ANALYSIS OF 86 CASES - A MULTICENTRIC STUDY FROM THE EUROPEAN ORGANIZATION FOR RESEARCH AND TREATMENT OF CANCER CUTANEOUS LYMPHOMA PROJECT GROUP [J].
PAULLI, M ;
BERTI, E ;
ROSSO, R ;
BOVERI, E ;
KINDL, S ;
KLERSY, C ;
LAZZARINO, M ;
BORRONI, G ;
MENESTRINA, F ;
SANTUCCI, M ;
GAMBINI, C ;
VASSALLO, G ;
MAGRINI, U ;
STERRY, W ;
BURG, G ;
GEERTS, ML ;
MEIJER, CJLM ;
WILLEMZE, R ;
FELLER, AC ;
MULLERHERMELINK, HK ;
KADIN, ME .
JOURNAL OF CLINICAL ONCOLOGY, 1995, 13 (06) :1343-1354
[10]   Statistical evaluation of diagnostic and prognostic features of CD30+ cutaneous lymphoproliferative disorders - A clinicopathologic study of 65 cases [J].
Vergier, B ;
Beylot-Barry, M ;
Pulford, K ;
Michel, P ;
Bosq, J ;
de Muret, A ;
Beylot, C ;
Delaunay, MM ;
Avril, MF ;
Dalac, S ;
Bodemer, C ;
Joly, P ;
Groppi, A ;
de Mascarel, A ;
Bagot, M ;
Mason, DY ;
Wechsler, J ;
Merlio, JP .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1998, 22 (10) :1192-1202