“…It typically presents with multiple superfi cial lymphadenopathies and has an indolent clinical course, although relapses occur after treatment in most cases [ 5 ] . Extramedullary involvement is uncommon with B-cell follicular lymphoma, with secondary cutaneous involvement reported in only < 5 %-10 % of cases [6][7][8][9][10] . It is even rarer for its diagnosis to be based on primary skin lesions, described in the literature as papules, nodules, tumors or infi ltrated plaques, and most frequently involving the head and neck region [ 6,7 ] .…”