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蕈样肉芽肿的各种皮肤表现:组织病理学特征及预后

Various skin manifestations of mycosis fungoides: histopathological features and prognosis.

作者信息

Koga Monji, Imafuku Shinichi, Nakayama Juichiro

机构信息

Department of Dermatology, Fukuoka University School of Medicine, Fukuoka, Japan.

出版信息

Fukuoka Igaku Zasshi. 2011 Jul;102(7):229-36.

Abstract

Mycosis fungoides (MF) is a type of T cell lymphoma, and comprises more than one-half of primary cutaneous T cell lymphomas (CTCL). Many variants of MF have been reported to date, although there are only three descriptions of MF variants in the WHO-EORTC classification published in 2005. Herein, we present four cases of MF, namely classical MF, Woringer-Kolopp disease, bullous MF, and folliculotropic MF. These variants of MF were all typical, although they are quite rare. Their unique clinical manifestations arise from characteristic histolopathological changes in the lesions. The location and amount of infiltrating tumor cells in the epidermis seem to be profoundly correlated with the prognosis.

摘要

蕈样肉芽肿(MF)是一种T细胞淋巴瘤,占原发性皮肤T细胞淋巴瘤(CTCL)的半数以上。迄今为止,已报道了许多MF变体,尽管2005年发表的WHO-EORTC分类中仅对MF变体有三种描述。在此,我们报告4例MF,即经典型MF、沃林格-科洛普病、大疱性MF和亲毛囊性MF。这些MF变体均很典型,尽管非常罕见。它们独特的临床表现源于病变中特征性的组织病理学变化。表皮中浸润性肿瘤细胞的位置和数量似乎与预后密切相关。

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