Primary cutaneous diffuse large B-cell lymphoma, NOS and leg type: Clinical, morphologic and prognostic differences.


Journal

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
ISSN: 1610-0387
Titre abrégé: J Dtsch Dermatol Ges
Pays: Germany
ID NLM: 101164708

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 12 06 2018
accepted: 04 09 2018
pubmed: 10 3 2019
medline: 25 2 2020
entrez: 10 3 2019
Statut: ppublish

Résumé

Primary cutaneous diffuse large B-cell lymphoma, NOS (PCLBCL/NOS) is a rare PCLBCL. Only few data are available for this tumor. The aim of this study was to identify clinical and/or immunohistochemical markers (in addition to Bcl-2) that characterize PCLBCL/NOS, assist in differentiating it from PCLBCL, leg type (PCLBCL/LT) and help to assess the clinical course/prognosis. Bcl-2 PCLBCL/NOS patients were younger, predominantly male and had better survival rates than patients with PCLBCL/LT. Patients with PCLBCL/NOS presented more often with larger plaques limited to one or two contiguous body regions, whereas PCLBCL/LT cases often presented with disseminated lesions. Neoplastic cells had a higher proliferation rate (Ki67) in PCLBCL/LT patients. The tumor microenvironment of PCLBCL/NOS had a more prominent CD3 PCLBCL/NOS and PCLBCL/LT differ in their clinical behavior and outcomes. Bcl-2 still seems to be the best marker for discriminating between these two subgroups. Bcl-2, female gender and Bcl-6 represent prognostic markers for PCLBCL.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
Primary cutaneous diffuse large B-cell lymphoma, NOS (PCLBCL/NOS) is a rare PCLBCL. Only few data are available for this tumor. The aim of this study was to identify clinical and/or immunohistochemical markers (in addition to Bcl-2) that characterize PCLBCL/NOS, assist in differentiating it from PCLBCL, leg type (PCLBCL/LT) and help to assess the clinical course/prognosis.
PATIENTS AND METHODS METHODS
Bcl-2
RESULTS RESULTS
PCLBCL/NOS patients were younger, predominantly male and had better survival rates than patients with PCLBCL/LT. Patients with PCLBCL/NOS presented more often with larger plaques limited to one or two contiguous body regions, whereas PCLBCL/LT cases often presented with disseminated lesions. Neoplastic cells had a higher proliferation rate (Ki67) in PCLBCL/LT patients. The tumor microenvironment of PCLBCL/NOS had a more prominent CD3
CONCLUSIONS CONCLUSIONS
PCLBCL/NOS and PCLBCL/LT differ in their clinical behavior and outcomes. Bcl-2 still seems to be the best marker for discriminating between these two subgroups. Bcl-2, female gender and Bcl-6 represent prognostic markers for PCLBCL.

Identifiants

pubmed: 30851152
doi: 10.1111/ddg.13773
doi:

Substances chimiques

BCL2 protein, human 0
Biomarkers, Tumor 0
Proto-Oncogene Proteins c-bcl-2 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

275-285

Informations de copyright

© 2019 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.

Auteurs

Moritz Felcht (M)

Department of Dermatology, Venereology and Allergy, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University and Centre of Excellence of Dermatology of Baden-Württemberg, Mannheim, Germany.
European Center of Angioscience, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany.

Claus-Detlev Klemke (CD)

Department of Dermatology, Venereology and Allergy, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University and Centre of Excellence of Dermatology of Baden-Württemberg, Mannheim, Germany.
Hautklinik, Städtisches Klinikum Karlsruhe, Akademisches Lehrkrankenhaus der Universität Freiburg, Karlsruhe, Germany.

Jan Peter Nicolay (JP)

Department of Dermatology, Venereology and Allergy, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University and Centre of Excellence of Dermatology of Baden-Württemberg, Mannheim, Germany.

Christel Weiss (C)

Department of Medical Statistics, Ruprecht-Karls-University of Heidelberg, Mannheim, Germany.

Chalid Assaf (C)

Department of Dermatology, Hospital of Krefeld, Krefeld, Germany.

Marion Wobser (M)

Department of Dermatology, Venereology and Allergy, Julius-Maximilians-University, Würzburg, Germany.

Max Schlaak (M)

Department of Dermatology, University of Cologne, Cologne, Germany.

Uwe Hillen (U)

Department of Dermatology and Skin Tumor Center, University Hospital Essen-Duisburg, Essen-Duisburg, Germany.

Rose Moritz (R)

Department of Dermatology, Venereology and Allergy, University Hospital Bochum, Bochum, Germany.
Department of Dermatology and Venereology, University Hospital and Martin-Luther-University of Halle-Wittenberg, Halle (Saale), Germany.

Iliana Tantcheva-Poor (I)

Department of Dermatology, University of Cologne, Cologne, Germany.

Dorothee Nashan (D)

Department of Dermatology, Hospital of Dortmund, Dortmund, Germany.

Marc Beyer (M)

Skin Cancer Center Charité, Department of Dermatology and Allergy, Charité -Universitätsmedizin Berlin, Berlin, Germany.

Edgar Dippel (E)

Department of Dermatology, Hospital of Ludwigshafen, Ludwigshafen, Germany.

Cornelia Sigrid Lissi Müller (CSL)

Department of Dermatology, Venereology and Allergy, Saarland University Hospital, Homburg/Saar, Germany.

Michael Max Sachse (MM)

Department of Dermatology, Allergy and Phlebology, Hospital of Bremerhaven, Bremerhaven, Germany.
Department of Dermatology, Hospital of Bremen, Bremen, Germany.

Frank Meiss (F)

Department of Dermatology and Venereology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.

Cyrill Géraud (C)

Department of Dermatology, Venereology and Allergy, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University and Centre of Excellence of Dermatology of Baden-Württemberg, Mannheim, Germany.
European Center of Angioscience, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany.

Alexander Marx (A)

Department of Pathology, Ruprecht-Karls-University of Heidelberg, Mannheim, Germany.

Sergij Goerdt (S)

Department of Dermatology, Venereology and Allergy, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University and Centre of Excellence of Dermatology of Baden-Württemberg, Mannheim, Germany.
European Center of Angioscience, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany.

Eva Geissinger (E)

Institute of Pathology, Julius-Maximilians-University, Würzburg, Germany.

Werner Kempf (W)

Kempf and Pfaltz, Histologische Diagnostik, Zurich, Switzerland.
Department of Dermatology, University Hospital Zurich, Zurich, Switzerland.

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