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[世界卫生组织皮肤淋巴瘤的分类及临床谱]

[WHO classification and clinical spectrum of cutaneous lymphomas].

作者信息

Mitteldorf C, Grabbe S, Stadler R

机构信息

Klinik für Dermatologie, Venerologie und Allergologie, HELIOS Klinikum Hildesheim, Senator-Braun-Allee 33, 31135, Hildesheim, Deutschland.

Universitäts-Hautklinik Mainz, Mainz, Deutschland.

出版信息

Hautarzt. 2017 Sep;68(9):682-695. doi: 10.1007/s00105-017-4025-1.

Abstract

BACKGROUND

Cutaneous lymphomas are rare skin cancers with a wide clinical spectrum.

OBJECTIVE

To give an overview of the current classification and the clinical spectrum of cutaneous lymphomas.

MATERIAL AND METHODS

Analysis and summary of the current literature concerning the different entities of cutaneous lymphomas.

RESULTS

A few modifications in the nomenclature of cutaneous lymphoma have been introduced in the revised version of the WHO classification 2016. In the last years new types of lymphomatoid papulosis were described. Moreover, two subgroups of folliculotropic mycosis fungoides are now mentioned. The CD4+ small/medium T‑cell lymphoproliferative disorder is no longer classified as an overt lymphoma. As new entities the EBV+ mucocutaneous ulcer, an EBV-associated diffuse large B‑cell lymphoma (not otherwise specified) and a primary cutaneous acral CD8 T‑cell (provisional) lymphoma are being considered.

CONCLUSION

The classification of cutaneous lymphomas is based on the revised version of the WHO classification (2016). The clinical pathological correlation is an elementary component for correct diagnosis.

摘要

背景

皮肤淋巴瘤是一类临床谱广泛的罕见皮肤癌。

目的

概述皮肤淋巴瘤的当前分类及临床谱。

材料与方法

分析和总结当前有关皮肤淋巴瘤不同实体的文献。

结果

2016年世界卫生组织分类修订版对皮肤淋巴瘤的命名做了一些修改。近年来描述了新型淋巴瘤样丘疹病。此外,现在提到毛囊性蕈样肉芽肿有两个亚组。CD4 +小/中T细胞淋巴增殖性疾病不再归类为明显淋巴瘤。作为新的实体,EBV +黏膜皮肤溃疡、一种EBV相关的弥漫性大B细胞淋巴瘤(未另行说明)和原发性皮肤肢端CD8 T细胞(暂定)淋巴瘤正被纳入考虑。

结论

皮肤淋巴瘤的分类基于世界卫生组织分类(2016年)修订版。临床病理相关性是正确诊断的基本要素。

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