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De novo CD5-positive diffuse large B-cell lymphoma of the skin arising in chronic limb lymphedema.

Identifieur interne : 001E98 ( Ncbi/Curation ); précédent : 001E97; suivant : 001E99

De novo CD5-positive diffuse large B-cell lymphoma of the skin arising in chronic limb lymphedema.

Auteurs : Jean-Louis Dargent [Belgique] ; Laurence Lespagnard ; Francesco Feoli ; Louisette Debusscher ; Muriel Greuse ; Dominique Bron

Source :

RBID : pubmed:16019518

Descripteurs français

English descriptors

Abstract

We report the case of a 79-year-old woman with a longstanding lymphedema of the right arm who developed a skin lymphoma involving the right wrist area. Microscopically, the lesion was composed of numerous centroblasts infiltrating both the dermis and the subcutaneous tissue. Phenotypic investigations showed expression of CD20, CD79a, and bcl-2 protein by neoplastic cells. In addition, these cells were CD5 positive. No expression of anaplastic large cell lymphoma kinase (ALK), CD10, CD23, CD30, CD43, bcl-6, cyclin D1, p53 or p16INK4a could be seen. Polymerase chain reaction (PCR) analysis demonstrated a clonal rearrangement of the genes coding for the kappa light chain of the immunoglobulin (Ig). No rearrangement of the genes coding for the Ig heavy chain, t(14;18) or t(11;14) chromosome translocations, or Epstein-Barr virus (EBV) genomic sequences could be found. The tumor was classified as stage IE and was first cured by complete surgical excision. Nineteen months later, a recurrence was noted in the right elbow area. This study further illustrates that lymphoma of the skin may complicate chronic limb lymphedema. Like most of the previously reported cases, this neoplasm belonged to the category of diffuse large B-cell lymphoma. However, it showed CD5 expression as a singular feature.

DOI: 10.1080/10428190500051208
PubMed: 16019518

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pubmed:16019518

Le document en format XML

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<name sortKey="Dargent, Jean Louis" sort="Dargent, Jean Louis" uniqKey="Dargent J" first="Jean-Louis" last="Dargent">Jean-Louis Dargent</name>
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<nlm:affiliation>Department of Pathology, CHU Saint-Pierre and Institut Jules Bordet, Brussels, Belgium. jean.dargent@bordet.be</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Pathology, CHU Saint-Pierre and Institut Jules Bordet, Brussels</wicri:regionArea>
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<name sortKey="Lespagnard, Laurence" sort="Lespagnard, Laurence" uniqKey="Lespagnard L" first="Laurence" last="Lespagnard">Laurence Lespagnard</name>
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<name sortKey="Feoli, Francesco" sort="Feoli, Francesco" uniqKey="Feoli F" first="Francesco" last="Feoli">Francesco Feoli</name>
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<name sortKey="Debusscher, Louisette" sort="Debusscher, Louisette" uniqKey="Debusscher L" first="Louisette" last="Debusscher">Louisette Debusscher</name>
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<name sortKey="Greuse, Muriel" sort="Greuse, Muriel" uniqKey="Greuse M" first="Muriel" last="Greuse">Muriel Greuse</name>
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<name sortKey="Debusscher, Louisette" sort="Debusscher, Louisette" uniqKey="Debusscher L" first="Louisette" last="Debusscher">Louisette Debusscher</name>
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<title level="j">Leukemia & lymphoma</title>
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<term>Aged</term>
<term>Antigens, CD5 (biosynthesis)</term>
<term>Arm</term>
<term>Chronic Disease</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (complications)</term>
<term>Lymphedema (immunology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphoma, B-Cell (complications)</term>
<term>Lymphoma, B-Cell (immunology)</term>
<term>Lymphoma, B-Cell (pathology)</term>
<term>Lymphoma, Large B-Cell, Diffuse (complications)</term>
<term>Lymphoma, Large B-Cell, Diffuse (immunology)</term>
<term>Lymphoma, Large B-Cell, Diffuse (pathology)</term>
<term>Polymerase Chain Reaction</term>
<term>Skin Neoplasms (complications)</term>
<term>Skin Neoplasms (immunology)</term>
<term>Skin Neoplasms (pathology)</term>
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<term>Antigènes CD5 (biosynthèse)</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (immunologie)</term>
<term>Lymphome B ()</term>
<term>Lymphome B (anatomopathologie)</term>
<term>Lymphome B (immunologie)</term>
<term>Lymphome B diffus à grandes cellules ()</term>
<term>Lymphome B diffus à grandes cellules (anatomopathologie)</term>
<term>Lymphome B diffus à grandes cellules (immunologie)</term>
<term>Maladie chronique</term>
<term>Réaction de polymérisation en chaîne</term>
<term>Sujet âgé</term>
<term>Tumeurs cutanées ()</term>
<term>Tumeurs cutanées (anatomopathologie)</term>
<term>Tumeurs cutanées (immunologie)</term>
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<term>Antigens, CD5</term>
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<term>Lymphoedème</term>
<term>Lymphome B</term>
<term>Lymphome B diffus à grandes cellules</term>
<term>Tumeurs cutanées</term>
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<keywords scheme="MESH" qualifier="biosynthèse" xml:lang="fr">
<term>Antigènes CD5</term>
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<term>Lymphedema</term>
<term>Lymphoma, B-Cell</term>
<term>Lymphoma, Large B-Cell, Diffuse</term>
<term>Skin Neoplasms</term>
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<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>Lymphome B</term>
<term>Lymphome B diffus à grandes cellules</term>
<term>Tumeurs cutanées</term>
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<term>Lymphedema</term>
<term>Lymphoma, B-Cell</term>
<term>Lymphoma, Large B-Cell, Diffuse</term>
<term>Skin Neoplasms</term>
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<term>Lymphoma, B-Cell</term>
<term>Lymphoma, Large B-Cell, Diffuse</term>
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<term>Polymerase Chain Reaction</term>
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<term>Humains</term>
<term>Lymphoedème</term>
<term>Lymphome B</term>
<term>Lymphome B diffus à grandes cellules</term>
<term>Maladie chronique</term>
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<div type="abstract" xml:lang="en">We report the case of a 79-year-old woman with a longstanding lymphedema of the right arm who developed a skin lymphoma involving the right wrist area. Microscopically, the lesion was composed of numerous centroblasts infiltrating both the dermis and the subcutaneous tissue. Phenotypic investigations showed expression of CD20, CD79a, and bcl-2 protein by neoplastic cells. In addition, these cells were CD5 positive. No expression of anaplastic large cell lymphoma kinase (ALK), CD10, CD23, CD30, CD43, bcl-6, cyclin D1, p53 or p16INK4a could be seen. Polymerase chain reaction (PCR) analysis demonstrated a clonal rearrangement of the genes coding for the kappa light chain of the immunoglobulin (Ig). No rearrangement of the genes coding for the Ig heavy chain, t(14;18) or t(11;14) chromosome translocations, or Epstein-Barr virus (EBV) genomic sequences could be found. The tumor was classified as stage IE and was first cured by complete surgical excision. Nineteen months later, a recurrence was noted in the right elbow area. This study further illustrates that lymphoma of the skin may complicate chronic limb lymphedema. Like most of the previously reported cases, this neoplasm belonged to the category of diffuse large B-cell lymphoma. However, it showed CD5 expression as a singular feature.</div>
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