Burg G, Kerl H, Przybilla B, Braun-Falco O
J Dermatol Surg Oncol. 1984 Apr;10(4):256-62. doi: 10.1111/j.1524-4725.1984.tb00895.x.
Cutaneous B-cell lymphomas represent a considerable number of skin lymphomas (about one-third) primarily showing skin manifestation without any extranodal involvement detectable using routine and special staging procedures. Differentiation from cutaneous T-cell lymphomas can be achieved clinically; histologically, due to the distinct growth pattern in the skin; and by immuno- or enzymophenotyping of the proliferating cells. Further differentiation of subtypes of cutaneous B-cell lymphomas is based primarily on cytomorphologic phenotyping of the cells. Classification of B-cell lymphomas with "primary" cutaneous manifestation according to the TNM system discloses a more adequate basis for prognostic and therapeutic considerations than the Ann Arbor classification for nodal lymphomas.
皮肤B细胞淋巴瘤占皮肤淋巴瘤的相当一部分(约三分之一),主要表现为皮肤症状,使用常规和特殊分期程序未检测到任何结外受累。临床上可实现与皮肤T细胞淋巴瘤的鉴别;从组织学上看,这是由于皮肤中独特的生长模式;还可通过增殖细胞的免疫或酶表型分析来鉴别。皮肤B细胞淋巴瘤亚型的进一步区分主要基于细胞的细胞形态表型分析。根据TNM系统对具有“原发性”皮肤表现的B细胞淋巴瘤进行分类,与用于淋巴结淋巴瘤的Ann Arbor分类相比,为预后和治疗考虑提供了更合适的基础。