Lymphoreticuläre Hyperplasien und Neoplasien der Haut

Kerl, Helmut; Kresbach, H

doi:10.1007/978-3-642-67026-8_4

Cited by 17 publications

(12 citation statements)

References 188 publications

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“…Indeed, before the delineation of precise criteria by Kerl and Kresbach 28 and Sanchez and Ackermann 43 in 1979, the histopathologic features of these lesions were considered to be nonspecific, [8][9][10]17,24,30,34,38,41,42,57 and pathologists made the diagnosis of MF only in cases characterized by the presence of markedly hyperchromatic, cerebriform lymphocytes in the epidermis forming the so-called Pautrier's microabscesses. Indeed, before the delineation of precise criteria by Kerl and Kresbach 28 and Sanchez and Ackermann 43 in 1979, the histopathologic features of these lesions were considered to be nonspecific, [8][9][10]17,24,30,34,38,41,42,57 and pathologists made the diagnosis of MF only in cases characterized by the presence of markedly hyperchromatic, cerebriform lymphocytes in the epidermis forming the so-called Pautrier's microabscesses.…”

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confidence: 99%

Histopathologic Features of Early (Patch) Lesions of Mycosis Fungoides

Massone¹,

Kodama²,

Kerl³

et al. 2005

American Journal of Surgical Pathology

178

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The histologic diagnosis of early mycosis fungoides (MF) is one of the most vexing problems in dermatopathology. We reviewed the histopathologic features of 745 biopsy specimens from 427 patients (male:female = 277:150; median age, 52 years; range, 3-95 years) with early (patch) lesions of MF collected from the lymphoma database of the Department of Dermatology of the Medical University of Graz (Austria). In all patients, the diagnosis was established by clinicopathologic correlation. The most common histopathologic pattern consisted of a band-like or patchy lichenoid infiltrate admixed with coarse bundles of collagen in the superficial dermis. Epidermotropism of lymphocytes was observed in most cases in one or more forms (single lymphocyte epidermotropism, 22%; basilar lymphocytes, 23%; Pautrier's microabscesses, 19%; "haloed" lymphocytes, 40%; disproportionate exocytosis, 17%; pagetoid epidermotropism, 3%). In 4% of cases, epidermotropism was completely missing. Atypical lymphocytes were present only in 9% of cases. Features of interface dermatitis were observed in 59% of cases. Other unusual findings were the presence of necrotic keratinocytes (23%), melanophages (8%), and extravasated erythrocytes (4%). In 28 patients, two or more biopsies taken on the same day at different body sites showed different histopathologic aspects, underlying the protean features of MF even in a single patient at a given time. Our study expands previous observations on histopathologic features of early lesions of MF. Although sometimes the histopathologic features are not diagnostic, they should be considered consistent with MF and do not rule out the diagnosis.

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mentioning

confidence: 99%

Histopathologic Features of Early (Patch) Lesions of Mycosis Fungoides

Massone¹,

Kodama²,

Kerl³

et al. 2005

American Journal of Surgical Pathology

178

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“…A third blood-cell-forming system, as previously assumed for the RES, does not exist [55][56][57][58].…”

Section: New Interpretation Of the Resmentioning

confidence: 99%

“…However, they proved to be low malignant B-cell lymphomas [56]. Likewise, the reticulosarcoma impressing clinically by a singular tumor proved to be a B-immunoblastic lymphoma and only in rare cases as neoplasia of histiocytes [56,58].…”

Section: Reticulosarcoma = Retothelsarkoma Lymphosarcomamentioning

confidence: 99%

The History of Lymphoma Classifications with Special Consideration of Cutaneous Lymphomas

Niermann¹

2013

J Leuk

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For the modern evidence based medicine classification systems are necessary to guarantee a unifying approach for therapy and for prognosis of diseases. The comparability of clinical studies depends of the usage of adequate classification systems. But because all classifications are artificial, they only mirror the technical possibilities of its area.This review discusses the history of lymphoma classifications systems with a special focus on the topic of primary cutaneous lymphomas and the retikuloendothelial system. Furthermore special problems in terminology are discussed.clinical behavior and prognosis than histologically, cytomorphologically and immunohistochemically identical secondary cutaneous and nodal lymphomas [13]. However, for years the B-cell lymphomas in particular were divided into a classification system for nodal lymphomas which was partly not reproducible, resulting in serious consequences for treatment, which failed to meet the prognosis [13,14].

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“…Synonyms used for the designation of pseudolymphomas (PL) of the skin include sarcoid Spiegler‐Fendt, benign lymphocytoma, lymphadenosis benigna cutis (Bäfverstedt's disease), cutaneous lymphoid hyperplasia, and others 1 . However, there is no unifying classification for the many variants of pseudolymphomatous proliferations in the skin.…”

Section: Classification Of Pl Of the Skinmentioning

confidence: 99%

Differentiation Between Malignant B‐Cell Lymphomas and Pseudolymphomas of the Skin

Burg

Kerl

Schmoeckel

1984

The Journal of Dermatologic Surgery and Oncology

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Among cutaneous pseudolymphomas (PL) in a strict sense, in which the etiology is largely unknown, B-cell types, simulating malignant B-cell lymphoma, and T-cell types, simulating malignant T-cell lymphoma of the skin, can be differentiated. Criteria favoring a pseudolymphomatous rather than a malignant lymphoid infiltrate of B-cell type may be clinical (solitary lesion on the head), histologic (wedge-shaped infiltrate with follicle formation and sharply demarcated germinal centers), or cytomorphologic (polymorphous infiltrate showing an admixture of great numbers of macrophages, plasma cells, and eosinophils). Additional information can be provided by enzymophenotyping of the cells, showing the typical starry-sky pattern of the macrophages in pseudolymphomatous infiltrates, and by the demonstration of the polyclonality of the lymphoid cells in pseudolymphomas with respect to surface markers and intracytoplasmatic Ig production, as shown by immunophenotyping techniques.

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Lymphoreticuläre Hyperplasien und Neoplasien der Haut

Cited by 17 publications

References 188 publications

Histopathologic Features of Early (Patch) Lesions of Mycosis Fungoides

Histopathologic Features of Early (Patch) Lesions of Mycosis Fungoides

The History of Lymphoma Classifications with Special Consideration of Cutaneous Lymphomas

Differentiation Between Malignant B‐Cell Lymphomas and Pseudolymphomas of the Skin

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