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原发性皮肤弥漫性大 B 细胞淋巴瘤表现为慢性不愈合性溃疡。

Primary cutaneous diffuse large B-cell lymphoma presenting as chronic non-healing ulcer.

机构信息

Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, FL, USA.

Department of Dermatology, University of Pisa, Pisa, Italy.

出版信息

Int Wound J. 2017 Oct;14(5):830-832. doi: 10.1111/iwj.12716. Epub 2017 Jan 24.

Abstract

Primary cutaneous diffuse large B-cell lymphoma is an uncommon and aggressive lymphoproliferative disorder with a rapid growth rate and dismal prognosis. We present the case of a 91-year-old female with an unusual manifestation of primary cutaneous diffuse large B-cell lymphoma, mimicking other more prevalent diseases like chronic non-healing venous ulceration. Dermatopathologic evaluation rendered the correct diagnosis. A discussion of this rare presentation is important for clinician consideration to prevent misdiagnosis and prolongation of proper management in patients with chronic non-healing leg ulcers.

摘要

原发性皮肤弥漫性大 B 细胞淋巴瘤是一种罕见且侵袭性的淋巴增生性疾病,具有快速生长速度和不良预后。我们报告了一例 91 岁女性的原发性皮肤弥漫性大 B 细胞淋巴瘤的不典型表现,类似于其他更为常见的疾病,如慢性难愈性静脉溃疡。皮肤病理评估做出了正确的诊断。讨论这种罕见表现对于临床医生的考虑很重要,以防止误诊和延长慢性难愈性腿部溃疡患者的适当治疗。

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WHO-EORTC classification for cutaneous lymphomas.世界卫生组织-欧洲癌症研究与治疗组织皮肤淋巴瘤分类
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