Department of Dermatology, Leiden University Medical Center, Leiden, The Netherlands.
Presse Med. 2022 Mar;51(1):104126. doi: 10.1016/j.lpm.2022.104126. Epub 2022 May 13.
Primary cutaneous lymphomas are a heterogeneous group of cutaneous T-cell lymphomas (CTCL) and cutaneous B-cell lymphomas (CBCL) that present in the skin with no evidence of extracutaneous disease at the time of diagnosis. In the last decade the 2005 WHO-EORTC consensus classification has served as a golden standard for the diagnosis and classification of these conditions. Recently, an updated version of the WHO-EORTC was published. This classification contains several new entities, including primary cutaneous acral CD8+ T-cell lymphoma and EBV-positive mucocutaneous ulcer, while other conditions were slightly modified. Herein, the characteristic features of the different types of CTCL and CBCL are presented, differences with previous classification schemes discussed and the results of more recent molecular studies with clinical implications for these conditions reviewed. In addition, an update of the frequency and survival of the different types of primary cutaneous lymphomas is provided.
原发性皮肤淋巴瘤是一组异质性的皮肤 T 细胞淋巴瘤(CTCL)和皮肤 B 细胞淋巴瘤(CBCL),它们在皮肤中出现,在诊断时没有皮肤外疾病的证据。在过去的十年中,2005 年 WHO-EORTC 共识分类一直是这些疾病的诊断和分类的金标准。最近,WHO-EORTC 的一个更新版本发布了。该分类包含了一些新的实体,包括原发性皮肤肢端 CD8+T 细胞淋巴瘤和 EBV 阳性黏膜溃疡,而其他一些实体则略有修改。本文介绍了不同类型的 CTCL 和 CBCL 的特征,讨论了与以前的分类方案的差异,并回顾了最近具有临床意义的分子研究结果。此外,还提供了不同类型原发性皮肤淋巴瘤的频率和生存率的更新。