Cortés B, Prins C
Rev Med Suisse. 2014 Apr 2;10(424):738, 740-3.
Primary cutaneous B-cell lymphomas (PCBCL) present as skin lesions without evidence of extracutaneous involvement at diagnosis. This article summarizes clinical and histopathological features of the three main types of PCBCL: primary cutaneous marginal zone lymphoma, primary cutaneous follicle center lymphoma and primary cutaneous diffuse large B-cell lymphoma, leg type. It will discuss initial staging procedures, necessary to differentiate PCBCL from systemic lymphoma with secondary skin involvement. Finally, we will review the main treatments, local therapy (radiotherapy, surgical excision) for indolent PCBCL and multiagent chemotherapy for primary cutaneous diffuse large B-cell lymphoma, leg type.
原发性皮肤B细胞淋巴瘤(PCBCL)在诊断时表现为皮肤病变,无皮肤外受累证据。本文总结了PCBCL三种主要类型的临床和组织病理学特征:原发性皮肤边缘区淋巴瘤、原发性皮肤滤泡中心淋巴瘤和原发性皮肤弥漫性大B细胞淋巴瘤(腿部型)。将讨论初始分期程序,这对于区分PCBCL与继发性皮肤受累的系统性淋巴瘤是必要的。最后,我们将回顾主要治疗方法,惰性PCBCL的局部治疗(放疗、手术切除)以及原发性皮肤弥漫性大B细胞淋巴瘤(腿部型)的多药化疗。