Department of Dermatology, University of Minnesota, 420 Delaware Street Southeast, Minneapolis, MN 55401, USA.
Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.
Hematol Oncol Clin North Am. 2019 Feb;33(1):149-161. doi: 10.1016/j.hoc.2018.08.006.
Primary cutaneous B-cell lymphomas are non-Hodgkin lymphomas that present in the skin without evidence of extracutaneous involvement at diagnosis. There are 3 types of primary cutaneous B-cell lymphomas: primary cutaneous marginal zone lymphoma, primary cutaneous follicle center lymphoma, and primary cutaneous diffuse large B-cell lymphoma, leg-type. Because it is most frequently diagnosed on skin biopsy, intravascular large B-cell lymphoma is commonly included with pcBCL. A complicating factor in diagnosing primary cutaneous B-cell lymphomas is that they can appear histologically identical to their extracutaneous counterparts. This review summarizes the clinical presentation, histopathology, evaluation, treatment, and differential diagnosis of these lymphomas.
原发性皮肤 B 细胞淋巴瘤是非霍奇金淋巴瘤,在诊断时表现为皮肤受累而无皮肤外受累的证据。原发性皮肤 B 细胞淋巴瘤有 3 种类型: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,腿型。由于它最常通过皮肤活检诊断,血管内大 B 细胞淋巴瘤通常与 pcBCL 一起包括在内。诊断原发性皮肤 B 细胞淋巴瘤的一个复杂因素是它们在组织学上可以与皮肤外的肿瘤表现相同。这篇综述总结了这些淋巴瘤的临床表现、组织病理学、评估、治疗和鉴别诊断。