Another window into tumor microenvironment: a case of Β-cell rich folliculotropic mycosis fungoides responding to rituximab.


Journal

The Australasian journal of dermatology
ISSN: 1440-0960
Titre abrégé: Australas J Dermatol
Pays: Australia
ID NLM: 0135232

Informations de publication

Date de publication:
May 2020
Historique:
received: 13 08 2019
accepted: 26 10 2019
pubmed: 17 1 2020
medline: 16 3 2021
entrez: 17 1 2020
Statut: ppublish

Résumé

The role of tumor infiltrating immune cells in cancer development and progression is a new, promising field in oncological research. An increasing number of novel anti-cancer agents are focussing on the tumor microenvironment. Various studies have reported on B-cell infiltrates in mycosis fungoides (MF), but despite the substantial volume of interesting findings, solid evidence regarding their specific role in cancer is still vague. We present a case of tumor stage  MF responding to rituximab. We support the hypothesis that lymphoma-infltrating B-cells have a significant impact on cutaneous lymphoma course and seem to be both an important and effective therapeutic target. The reduction of B-cell population led to disease's overall remission, probably by restoring patient's immunologic tumor control.

Identifiants

pubmed: 31944261
doi: 10.1111/ajd.13217
doi:

Substances chimiques

Dermatologic Agents 0
Rituximab 4F4X42SYQ6

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e226-e228

Informations de copyright

© 2020 Australasian College of Dermatologists.

Références

Scarisbrick JJ. Prognostic factors in mycosis fungoides: international advances in the validation of prognostic indices. Br. J. Dermatol. 2017; 176: 1129-30.
Scarisbrick JJ, Kim YH, Whittaker SJ et al. Prognostic factors, prognostic indices and staging in mycosis fungoides and Sezary syndrome: where are we now? Br. J. Dermatol. 2014; 170: 1226-36.
Mattoch IW, Fulton R, Kim Y et al. Cutaneous peripheral T-cell lymphoma associated with a proliferation of B cells. Am. J Clin. Pathol. 2009; 131: 810-9.
Ferrara G, Chiarelli C, Simonetti S. B-cell lymphofollicular infiltrates in mycosis fungoides. Tumori 2010; 96: 487-91.
Jullie ML, Carlotti M, Vivot A Jr et al. CD20 antigen may be expressed by reactive or lymphomatous cells of transformed mycosis fungoides: diagnostic and prognostic impact. Am. J. Surg. Pathol. 2013; 37: 1845-54.
Higgins JP, van de Rijn M, Jones CD et al. Peripheral T-cell lymphoma complicated by a proliferation of large B cells. Am. J. Clin. Pathol. 2000; 114: 236-47.
Theurich S, Schlaak M, Steguweit H et al. Targeting tumor-infiltrating B cells in cutaneous T cell lymphoma. J. Clin. Oncol. 2016; 34: e110-116.
Gerami P, Guitart J. The spectrum of histopathologic and immunohistochemical findings in folliculotropic mycosis fungoides. Am. J. Surg. Pathol. 2007; 1430-8.
Leuchte K, Schlaak M, Stadler R et al. Innovative treatment concepts for cutaneous T cell lymphoma based on microenvironement modulation. Oncol. Res. Treat. 2017; 40: 262-9.

Auteurs

Vasiliki Nikolaou (V)

Dermatology Department, Cutaneous Lymphoma Clinic, Medical School, "A. Sygros" Hospital for Skin Diseases, National & Kapodistrian University of Athens, Athens, Greece.

Theodoros Iliakis (T)

Hematology Unit, 1st Propaedeutic Department of Internal Medicine, "Laikon" General Hospital, Medical School, University of Athens, Athens, Greece.

Leonidas Marinos (L)

Hemopathology Department, "Evangelismos" General Hospital, Athens, Greece.

Dimitra Voudouri (D)

Dermatology Department, Cutaneous Lymphoma Clinic, Medical School, "A. Sygros" Hospital for Skin Diseases, National & Kapodistrian University of Athens, Athens, Greece.

Polytimi Sidiropoulou (P)

Dermatology Department, Cutaneous Lymphoma Clinic, Medical School, "A. Sygros" Hospital for Skin Diseases, National & Kapodistrian University of Athens, Athens, Greece.

Dimitris Rigopoulos (D)

Dermatology Department, Cutaneous Lymphoma Clinic, Medical School, "A. Sygros" Hospital for Skin Diseases, National & Kapodistrian University of Athens, Athens, Greece.

Alexander J Stratigos (AJ)

Dermatology Department, Cutaneous Lymphoma Clinic, Medical School, "A. Sygros" Hospital for Skin Diseases, National & Kapodistrian University of Athens, Athens, Greece.

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