Bonvalet D, Belaïch S, Civatte J
Dermatologica. 1978;157(5):257-68.
This histologic classification is based upon the arrangement and cytologic composition of the infiltrate. We separate diseases with intraepidermal exocytosis from diseases without intraepidermal exocytosis. In the first group, mycosis fungoides is the most important: the infiltrate is often polymorphous, but sometimes it consists of histiocytes and lymphocytes. Varying number of Sézary cells are present. The Woringer-Kolopp syndrome and histiocytosis X are included in this group as well. The second group comprises many neoplastic diseases: mycosis fungoides without Pautrier microabscesses, so-called 'reticulosis', 'Crosti's reticulosis', leukemia and lymph node lymphoma. Difficulties may arise in the differential diagnosis between these various diseases with well-differentiated lymphocytes and without intraepidermal exocytosis. These diseases must also be differentiated from the non-malignant lymphocytic infiltrates found in lupus erythematosus, lymphocytoma cutis and Jessner's lymphocytic infiltration of the skin.
这种组织学分类是基于浸润细胞的排列和细胞组成。我们将有表皮内细胞外渗的疾病与无表皮内细胞外渗的疾病区分开来。在第一组中,蕈样肉芽肿最为重要:浸润细胞通常是多形性的,但有时由组织细胞和淋巴细胞组成。存在数量不等的 Sézary 细胞。Woringer-Kolopp 综合征和组织细胞增多症 X 也包括在这一组中。第二组包括许多肿瘤性疾病:无 Pautrier 微脓肿的蕈样肉芽肿、所谓的“网状细胞增多症”、“Crosti 网状细胞增多症”、白血病和淋巴结淋巴瘤。在鉴别这些淋巴细胞分化良好且无表皮内细胞外渗的各种疾病时可能会出现困难。这些疾病还必须与红斑狼疮、皮肤淋巴细胞瘤和 Jessner 皮肤淋巴细胞浸润中发现的非恶性淋巴细胞浸润相鉴别。