Atypical cutaneous lesions in advanced-stage Hodgkin lymphoma: A case report.

ABVD Advanced stage Case report Hodgkin lymphoma Skin lesions

Journal

World journal of clinical cases
ISSN: 2307-8960
Titre abrégé: World J Clin Cases
Pays: United States
ID NLM: 101618806

Informations de publication

Date de publication:
06 Sep 2019
Historique:
received: 13 05 2019
revised: 15 07 2019
accepted: 27 07 2019
entrez: 28 9 2019
pubmed: 29 9 2019
medline: 29 9 2019
Statut: ppublish

Résumé

Cutaneous involvement in Hodgkin lymphoma (HL) is a rare finding. Few cases have been reported in literature, most describing paraneoplastic manifestations. Only very few papers have described primary HL skin infiltration, reporting a wide range of clinical presentations that frequently include ulcers; plaques, nodules and papules have also been noticed. We report the case of a 56-year-old man who presented fever, multiple adenomegalies of neck and axilla and thick serpiginous skin lesions involving bilateral pectoral regions. After an initial diagnostic workup for a suspected active infectious disease, a lymph node biopsy was performed, which showed a neoplastic invasion from a mixed cellularity classical HL. The same histological pattern was described in a cutaneous biopsy of the chest lesions. The other staging procedures performed revealed an advanced disease, with unfavourable clinical prognostic features. The patient was prescribed 6 cycles of ABVD chemotherapy scheme (doxorubicin, bleomycin, vinblastine, dacarbazine), a regiment that requires demonstration of metabolic response achievement at the interim PET/CT scan to confirm continuation or to change therapeutic strategy. Skin involvement in HL is a rare finding and may represent a challenging clinical presentation due to extremely various types of lesions observed.

Sections du résumé

BACKGROUND BACKGROUND
Cutaneous involvement in Hodgkin lymphoma (HL) is a rare finding. Few cases have been reported in literature, most describing paraneoplastic manifestations. Only very few papers have described primary HL skin infiltration, reporting a wide range of clinical presentations that frequently include ulcers; plaques, nodules and papules have also been noticed.
CASE SUMMARY METHODS
We report the case of a 56-year-old man who presented fever, multiple adenomegalies of neck and axilla and thick serpiginous skin lesions involving bilateral pectoral regions. After an initial diagnostic workup for a suspected active infectious disease, a lymph node biopsy was performed, which showed a neoplastic invasion from a mixed cellularity classical HL. The same histological pattern was described in a cutaneous biopsy of the chest lesions. The other staging procedures performed revealed an advanced disease, with unfavourable clinical prognostic features. The patient was prescribed 6 cycles of ABVD chemotherapy scheme (doxorubicin, bleomycin, vinblastine, dacarbazine), a regiment that requires demonstration of metabolic response achievement at the interim PET/CT scan to confirm continuation or to change therapeutic strategy.
CONCLUSION CONCLUSIONS
Skin involvement in HL is a rare finding and may represent a challenging clinical presentation due to extremely various types of lesions observed.

Identifiants

pubmed: 31559286
doi: 10.12998/wjcc.v7.i17.2513
pmc: PMC6745318
doi:

Types de publication

Case Reports

Langues

eng

Pagination

2513-2518

Déclaration de conflit d'intérêts

Conflict-of-interest statement: The authors reported no potential conflicts of interest regarding this article.

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Auteurs

Fulvio Massaro (F)

Hematology, Azienda Unità Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia 42123, Italy. fulvio.massaro@ausl.re.it.

Angela Ferrari (A)

Hematology, Azienda Unità Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia 42123, Italy.

Enrico Zendri (E)

Azienda Unità Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia 42123, Italy.

Magda Zanelli (M)

Azienda Unità Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia 42123, Italy.

Francesco Merli (F)

Hematology, Azienda Unità Sanitaria Locale IRCCS di Reggio Emilia, Reggio Emilia 42123, Italy.

Classifications MeSH