A primary cutaneous anaplastic large cell lymphoma mimicking labial herpes
Introduction A primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include primary cutaneous anaplastic large cell lymphoma (PCALCL) and lymphomatoid papulois. Case report We report a rare an atypical case of PCALCL wi...
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| Published in: | Oral and maxillofacial surgery Vol. 24; no. 2; pp. 239 - 242 |
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01-06-2020
Springer Nature B.V |
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| Abstract | Introduction
A primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include primary cutaneous anaplastic large cell lymphoma (PCALCL) and lymphomatoid papulois.
Case report
We report a rare an atypical case of PCALCL with an aggressive and refractory behavior that occurred in the lip vermilion, and that had been initially diagnosed as aggressive herpes. The lesion was recurrent and refractory to the CHOEP chemotherapy protocol followed by radiotherapy, but after hyper CVAD (acronym) + brentuximab with a considerable improvement. After 4 cycles of hyper CVAD plus brentuximab, the patient underwent 100% compatible sibling bone marrow transplantation, with success in the procedure.
Conclusion
Primary cutaneous anaplastic large cell lymphoma is a rare disease of difficult diagnosis and may be confused with chronic infectious diseases, postponing treatment. |
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| AbstractList | INTRODUCTIONA primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include primary cutaneous anaplastic large cell lymphoma (PCALCL) and lymphomatoid papulois. CASE REPORTWe report a rare an atypical case of PCALCL with an aggressive and refractory behavior that occurred in the lip vermilion, and that had been initially diagnosed as aggressive herpes. The lesion was recurrent and refractory to the CHOEP chemotherapy protocol followed by radiotherapy, but after hyper CVAD (acronym) + brentuximab with a considerable improvement. After 4 cycles of hyper CVAD plus brentuximab, the patient underwent 100% compatible sibling bone marrow transplantation, with success in the procedure. CONCLUSIONPrimary cutaneous anaplastic large cell lymphoma is a rare disease of difficult diagnosis and may be confused with chronic infectious diseases, postponing treatment. A primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include primary cutaneous anaplastic large cell lymphoma (PCALCL) and lymphomatoid papulois. We report a rare an atypical case of PCALCL with an aggressive and refractory behavior that occurred in the lip vermilion, and that had been initially diagnosed as aggressive herpes. The lesion was recurrent and refractory to the CHOEP chemotherapy protocol followed by radiotherapy, but after hyper CVAD (acronym) + brentuximab with a considerable improvement. After 4 cycles of hyper CVAD plus brentuximab, the patient underwent 100% compatible sibling bone marrow transplantation, with success in the procedure. Primary cutaneous anaplastic large cell lymphoma is a rare disease of difficult diagnosis and may be confused with chronic infectious diseases, postponing treatment. Introduction A primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include primary cutaneous anaplastic large cell lymphoma (PCALCL) and lymphomatoid papulois. Case report We report a rare an atypical case of PCALCL with an aggressive and refractory behavior that occurred in the lip vermilion, and that had been initially diagnosed as aggressive herpes. The lesion was recurrent and refractory to the CHOEP chemotherapy protocol followed by radiotherapy, but after hyper CVAD (acronym) + brentuximab with a considerable improvement. After 4 cycles of hyper CVAD plus brentuximab, the patient underwent 100% compatible sibling bone marrow transplantation, with success in the procedure. Conclusion Primary cutaneous anaplastic large cell lymphoma is a rare disease of difficult diagnosis and may be confused with chronic infectious diseases, postponing treatment. |
| Author | Pereira, Danielli Fernandes da Paz Scardua, Eduardo Filipe Filho, Volmar Belisário Camisasca, Danielle Resende de Barros, Liliana Aparecida Pimenta Costa, Bianca Scopel Velloso, Tânia Regina Grão Silva, Daniela Nascimento |
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| PublicationTitle | Oral and maxillofacial surgery |
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| References | Swerdlow SH, Campo E, Pileri SA, Harris NL, Stein H, Siebert R, Advani R, Ghielmini M, Salles GA, Zelenetz AD, Jaffe ES (2016) The 2016 revision of the World Health Organization classification of lymphoid neoplasms. Blood 127(20):2375–2390. https://doi.org/10.1182/blood-2016-01-643569 Meconi, F., Secchi, R., Palmieri, R., Vaccarini, S., Rapisarda, V. M., Giannì, L., ... & Cantonetti, M. (2019). Primary cutaneous anaplastic large cell lymphoma of the oral cavity successfully treated with brentuximab vedotin. Case reports in hematology, 2019. DOI:https://doi.org/10.1155/2019/9651207 HorwitzSO'ConnorOAProBIllidgeTFanaleMAdvaniRBrentuximab vedotin with chemotherapy for CD30-positive peripheral T-cell lymphoma (ECHELON-2): a global, double-blind, randomised, phase 3 trialLancet20183931016822924010.1016/S0140-6736(18)32984-2305229226436818 BekkenkMWGeelenFAvan Voorst VaderPCHeuleFGeertsMLvan VlotenWAPrimary and secondary cutaneous CD30+ lymphoproliferative disorders: a report from the Dutch Cutaneous Lymphoma Group on the long-term follow-up data of 219 patients and guidelines for diagnosis and treatmentBlood20009512365336611:CAS:528:DC%2BD3cXktFChsL4%3D10.1182/blood.V95.12.3653PMID:10845893 Swerdlow, S. H. (Ed.). (2017). WHO classification of tumours of haematopoietic and lymphoid tissues. International Agency for Research on Cancer SciallisAPLawMEInwardsDJMcClureRFMaconWRKurtinPJMucosal CD30-positive T-cell lymphoproliferations of the head and neck show a clinicopathologic spectrum similar to cutaneous CD30-positive T-cell lymphoproliferative disordersMod Pathol20122579839921:CAS:528:DC%2BC38XpvVSjsrc%3D10.1038/modpathol.2012.3822388754 AP Sciallis (822_CR3) 2012; 25 822_CR4 822_CR5 MW Bekkenk (822_CR2) 2000; 95 S Horwitz (822_CR6) 2018; 393 822_CR1 |
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A primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include... A primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include primary... IntroductionA primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include... INTRODUCTIONA primary cutaneous CD-30 positive T -cell lymphoproliferative disorders are rare and heterogeneous group of primary skin tumors, which include... |
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| SubjectTerms | Biopsy Case Report Chemotherapy Dentistry Humans Infectious diseases Lymphocytes Lymphoma Lymphoma, Primary Cutaneous Anaplastic Large Cell Medical prognosis Medicine Medicine & Public Health Monoclonal antibodies Oral and Maxillofacial Surgery Radiation therapy Rare diseases Skin Neoplasms Targeted cancer therapy Tumors |
| Title | A primary cutaneous anaplastic large cell lymphoma mimicking labial herpes |
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