Non Lymphoblastic T Cell Lymphomas with Prevalent Skin Involvement Different from Mycosis Fungoides or Sézary’s Syndrome
作者:
Jean Jacques Grob,
Nicole Horchowski,
Nicole Tubiana,
Bernard Gabriel,
Jean Albert Gastaut,
Jacques Hassoun,
Isabelle Jouve,
Yves Carcassone,
Jean Jacques Bonerandi,
期刊:
Dermatology
(Karger Available online 1988)
卷期:
Volume 177,
issue 2
页码: 82-97
ISSN:1018-8665
年代: 1988
DOI:10.1159/000248522
出版商: S. Karger AG
关键词: T cell lymphoma;Mycosis fungoides;Skin disease;Plasmocytoma
数据来源: Karger
摘要:
A retrospective study of 23 cases of nonlymphoblastic T cell lymphomas with no features of either mycosis fungoides (MF) or Sézary syndrome (SS) was carried out. 6 patients exhibited cutaneous (or mucous) lesions and are presented herein. There was no detectable visceral or node involvement except in 1 patient. 3 cases were immunologically proven to be of peripheral T cell origin. Except T cell lymphomas in Japan and in the Caribbean area, the frequency of prevalent skin involvement is reportedly very low in non-MF/SS non lymphoblastic T cell lymphomas. However, it is likely that this frequency has been underestimated in Western countries. The histologic features of our cases run the heterogeneous spectrum of recently described node-based forms of peripheral T cell lymphomas: ‘angioimmunoblastic lymphadenopathy with dysproteinemia’ -like lymphoma, large T cell lymphoma, multilobulated cell lymphoma, T zone lymphoma. The histologic pattern of skin infiltration was different from that of MF/SS. One case was initially suggestive of a pseudolymphoma and had a prolonged evolution but the other patients suffered from rapid extracutaneous involvement and fatal evolution with resistance to treatment. Cutaneous plasmocytomas were seen in 1 case. Hence, certain cutaneous T cell lymphomas exhibit histologic, immunological and developmental features similar to those of node-based peripheral T cell lymphomas but different from those of M
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