De novo CD5-positive diffuse large B-cell lymphoma of the skin arising in chronic limb lymphedema.
Identifieur interne : 001E98 ( Ncbi/Merge ); précédent : 001E97; suivant : 001E99De 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 BronSource :
- Leukemia & lymphoma [ 1042-8194 ] ; 2005.
Descripteurs français
- KwdFr :
- Antigènes CD5 (biosynthèse), Bras, Femelle, Humains, Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (immunologie), Lymphome B (), Lymphome B (anatomopathologie), Lymphome B (immunologie), Lymphome B diffus à grandes cellules (), Lymphome B diffus à grandes cellules (anatomopathologie), Lymphome B diffus à grandes cellules (immunologie), Maladie chronique, Réaction de polymérisation en chaîne, Sujet âgé, Tumeurs cutanées (), Tumeurs cutanées (anatomopathologie), Tumeurs cutanées (immunologie).
- MESH :
- anatomopathologie : Lymphoedème, Lymphome B, Lymphome B diffus à grandes cellules, Tumeurs cutanées.
- biosynthèse : Antigènes CD5.
- immunologie : Lymphoedème, Lymphome B, Lymphome B diffus à grandes cellules, Tumeurs cutanées.
- Bras, Femelle, Humains, Lymphoedème, Lymphome B, Lymphome B diffus à grandes cellules, Maladie chronique, Réaction de polymérisation en chaîne, Sujet âgé, Tumeurs cutanées.
English descriptors
- KwdEn :
- Aged, Antigens, CD5 (biosynthesis), Arm, Chronic Disease, Female, Humans, Lymphedema (complications), Lymphedema (immunology), Lymphedema (pathology), Lymphoma, B-Cell (complications), Lymphoma, B-Cell (immunology), Lymphoma, B-Cell (pathology), Lymphoma, Large B-Cell, Diffuse (complications), Lymphoma, Large B-Cell, Diffuse (immunology), Lymphoma, Large B-Cell, Diffuse (pathology), Polymerase Chain Reaction, Skin Neoplasms (complications), Skin Neoplasms (immunology), Skin Neoplasms (pathology).
- MESH :
- chemical , biosynthesis : Antigens, CD5.
- complications : Lymphedema, Lymphoma, B-Cell, Lymphoma, Large B-Cell, Diffuse, Skin Neoplasms.
- immunology : Lymphedema, Lymphoma, B-Cell, Lymphoma, Large B-Cell, Diffuse, Skin Neoplasms.
- pathology : Lymphedema, Lymphoma, B-Cell, Lymphoma, Large B-Cell, Diffuse, Skin Neoplasms.
- Aged, Arm, Chronic Disease, Female, Humans, Polymerase Chain Reaction.
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:16019518Le document en format XML
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<author><name sortKey="Dargent, Jean Louis" sort="Dargent, Jean Louis" uniqKey="Dargent J" first="Jean-Louis" last="Dargent">Jean-Louis Dargent</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Pathology, CHU Saint-Pierre and Institut Jules Bordet, Brussels, Belgium. jean.dargent@bordet.be</nlm:affiliation>
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<author><name sortKey="Debusscher, Louisette" sort="Debusscher, Louisette" uniqKey="Debusscher L" first="Louisette" last="Debusscher">Louisette Debusscher</name>
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<author><name sortKey="Greuse, Muriel" sort="Greuse, Muriel" uniqKey="Greuse M" first="Muriel" last="Greuse">Muriel Greuse</name>
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<author><name sortKey="Bron, Dominique" sort="Bron, Dominique" uniqKey="Bron D" first="Dominique" last="Bron">Dominique Bron</name>
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<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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<keywords scheme="KwdFr" xml:lang="fr"><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>
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<term>Lymphome B (anatomopathologie)</term>
<term>Lymphome B (immunologie)</term>
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<term>Lymphome B diffus à grandes cellules (immunologie)</term>
<term>Maladie chronique</term>
<term>Réaction de polymérisation en chaîne</term>
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<term>Tumeurs cutanées ()</term>
<term>Tumeurs cutanées (anatomopathologie)</term>
<term>Tumeurs cutanées (immunologie)</term>
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<term>Lymphome B</term>
<term>Lymphome B diffus à grandes cellules</term>
<term>Tumeurs cutanées</term>
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<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>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Lymphedema</term>
<term>Lymphoma, B-Cell</term>
<term>Lymphoma, Large B-Cell, Diffuse</term>
<term>Skin Neoplasms</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>
<term>Réaction de polymérisation en chaîne</term>
<term>Sujet âgé</term>
<term>Tumeurs cutanées</term>
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<front><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>
</front>
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<Abstract><AbstractText>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.</AbstractText>
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<Author ValidYN="Y"><LastName>Feoli</LastName>
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