Primary Cutaneous DLBCL Non-GCB Type: Challenges of a Rare Case.

B-cell lymphoma Cutaneous lymphoma Diffuse large B cell lymphoma FISH Leg-type lymphoma

Journal

Open medicine (Warsaw, Poland)
ISSN: 2391-5463
Titre abrégé: Open Med (Wars)
Pays: Poland
ID NLM: 101672167

Informations de publication

Date de publication:
2020
Historique:
received: 10 08 2019
accepted: 24 12 2019
entrez: 8 4 2020
pubmed: 8 4 2020
medline: 8 4 2020
Statut: epublish

Résumé

Several types of B-cell lymphomas, including both primary cutaneous lymphomas and systemic lymphomas, may affect the skin, with partially overlapping clinical, morphological and immunohistochemical features. Currently, the World Health Organization (WHO) classification of primary cutaneous B-cell lymphomas does not include diffuse large B-cell lymphomas (DLBCL) and considers leg-type DLBCL the only primary cutaneous DLBCL. Here we report the case of a 72-year-old white woman with a primary cutaneous neoplasm comprised of large cells with round nuclei, irregularly clumped chromatin and one or more inconspicuous nucleoli. The immunohistochemistry demonstrated positivity for CD20 and MUM1, with no significant genetic translocations detected by fluorescence in-situ hybridization. After staging, we considered this neoplasm a primary cutaneous DLBCL with a non-germinal center phenotype, not otherwise specified, inconsistent with a leg-type DLBCL. Because of this view, we underscore the need for greater knowledge of the molecular landscape of B-cell lymphomas in order to reconsider the classification of such neoplasms in the skin.

Identifiants

pubmed: 32258414
doi: 10.1515/med-2020-0018
pii: med-2020-0018
pmc: PMC7101477
doi:

Types de publication

Journal Article

Langues

eng

Pagination

119-125

Informations de copyright

© 2020 Antonello Sica et al., published by De Gruyter.

Déclaration de conflit d'intérêts

Conflict of interest Conflict of interest statement: All the authors of the manuscript declare that they have no conflict of interest in connection with this paper.

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Auteurs

Antonello Sica (A)

Oncology and Hematology Unit, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.

Paola Vitiello (P)

Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.

Stefano Caccavale (S)

Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.

Caterina Sagnelli (C)

Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli, Naples", Italy.

Armando Calogero (A)

General Surgery and Transplant Unit, Department of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.

Concetta Anna Doraro (CA)

General Surgery and Transplant Unit, Department of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.

Francesco Pastore (F)

Radiotherapy Unit, Emicenter, Casavatore (Naples), Italy.

Fortunato Ciardiello (F)

Oncology and Hematology Unit, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.

Giuseppe Argenziano (G)

Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.

Alfonso Reginelli (A)

Section of Radiology and Radiotherapy, Department of Precision Medicine, University of Campania "L. Vanvitelli", Naples. Italy.

Salvatore Cappabianca (S)

Section of Radiology and Radiotherapy, Department of Precision Medicine, University of Campania "L. Vanvitelli", Naples. Italy.

Renato Franco (R)

Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.

Andrea Ronchi (A)

Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy.

Classifications MeSH