2006
DOI: 10.1017/s0022215106005457
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Primary cutaneous aggressive epidermotropic CD8 positive cytotoxic T-cell lymphoma of the ear

Abstract: We report a case of an epidermotropic CD8+ cutaneous T-cell lymphoma which initially presented as an ulcerated lesion of the pinna. Although T-cell lymphomas may present as cutaneous lesions, the ear is rarely involved. This uncommon presentation and the need for multiple biopsies means that the diagnosis of these lesions may be delayed or missed. A high index of suspicion is required when evaluating cutaneous lesions in the head and neck area.

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Cited by 24 publications
(22 citation statements)
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“…In addition, phenotypic analysis of T-cell subpopulations is not crucial for the diagnosis of SMPTCL, and phenotypic variations have been described. [3][4][5] In our series as well as in most reported cases of SMPTCL, patients presented mostly with solitary lesions located in the majority of cases on the head and neck or trunk, but onset of multiple plaques and tumors has been described as well. [9][10][11][12][13][14][15][16][17] The histopathologic hallmark of SMPTCL is dense infiltrates of small-/medium-sized pleomorphic T lymphocytes with a small proportion of large cells (not exceeding 30%).…”
Section: Discussionsupporting
confidence: 59%
See 1 more Smart Citation
“…In addition, phenotypic analysis of T-cell subpopulations is not crucial for the diagnosis of SMPTCL, and phenotypic variations have been described. [3][4][5] In our series as well as in most reported cases of SMPTCL, patients presented mostly with solitary lesions located in the majority of cases on the head and neck or trunk, but onset of multiple plaques and tumors has been described as well. [9][10][11][12][13][14][15][16][17] The histopathologic hallmark of SMPTCL is dense infiltrates of small-/medium-sized pleomorphic T lymphocytes with a small proportion of large cells (not exceeding 30%).…”
Section: Discussionsupporting
confidence: 59%
“…Neoplastic cells are characterized by a CD3 + /CD4 + /CD8 2 / CD30 2 phenotype, although CD8 + cases have been described. [3][4][5] The clinical outcome is usually favorable, with an estimated 5-year survival of 60%-80%. 1 We analyzed clinicopathologic features of 136 patients with skin lesions consistent with a diagnosis of SMPTCL to better understand this elusive group of cutaneous lymphoid proliferations.…”
Section: Introductionmentioning
confidence: 99%
“…[1][2][3][4][5][7][8][9][10][11][12][13][14][15][16][17] Clinically, the disease manifests as localized or disseminated papules, papules, nodules, and tumors, often with ulceration, hemorrhage, and necrosis, or with superficial hyperkeratotic patches and plaques. [1][2][3][4][5][7][8][9][10][11][12][13][14][15][16][17] Unlike classic MF, patients do not generally have long-standing precursor lesions and do not follow the typical progression through patch-, plaque-, and finally tumor-stage disease, but rather present from the onset with widespread plaque-and tumor-stage disease. 3,9,12 Involvement of mucosal surfaces, and acrally accentuated lesions of the palms and soles, is commonly seen.…”
Section: Discussionmentioning
confidence: 99%
“…[5][6][7][8] In people, MF is the most common type of cutaneous T-cell lymphoma and accounts for more than 50% of all primary cutaneous lymphoma. 26 It is a proliferative disorder of CD4 show intraepithelial clustering of lymphocytes, known as Pautrier microabscess.…”
mentioning
confidence: 99%