Blastic plasmacytoid dendritic cell neoplasm: a short review and update

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare hematologic neoplasm (less than 1% of primary cutaneous lymphomas and acute leukemia) with a highly aggressive clinical course and frequent skin, bone marrow and central nervous system (CNS) involvement. Despite a frequent initial respo...

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Main Authors: Cesare Massone, Giulia Rivoli, Simona Sola, Emanuele Angelucci
Format: Article
Language:English
Published: PAGEPress Publications 2023-08-01
Series:Dermatology Reports
Subjects:
Online Access:https://pagepress.org/journals/index.php/dr/article/view/9781
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author Cesare Massone
Giulia Rivoli
Simona Sola
Emanuele Angelucci
author_facet Cesare Massone
Giulia Rivoli
Simona Sola
Emanuele Angelucci
author_sort Cesare Massone
collection DOAJ
description Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare hematologic neoplasm (less than 1% of primary cutaneous lymphomas and acute leukemia) with a highly aggressive clinical course and frequent skin, bone marrow and central nervous system (CNS) involvement. Despite a frequent initial response to chemotherapy, relapses with eventual leukemic dissemination are extremely common, leading to poor outcomes and a median overall survival (OS) ranging from 8 to 14 months in first line setting, with standard combination chemotherapy regimens. The skin is the first affected site (in almost 90% of patients) where BPDCN may remain confined for weeks or even months (sanctuary?) until a rapid second step with multiorgan involvement occurs. Therefore, it is of uppermost importance to suspect and recognize early skin lesions and to perform and report a skin biopsy as soon as possible. A multidisciplinary approach with coordination among dermatologists, pathologists and hematologists is definitively crucial in diagnosis and management of BPDCN.
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spelling doaj.art-3d7b0c9c8dc44e5ab528a7340658d10a2023-09-03T18:24:03ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062023-08-0110.4081/dr.2021.9781Blastic plasmacytoid dendritic cell neoplasm: a short review and updateCesare Massone0Giulia Rivoli1Simona Sola2Emanuele Angelucci3Dermatology Unit, Galliera Hospital, GenoaUO Hematology and Cellular Therapies, IRCCS San Martino Polyclinic Hospital, GenoaSurgical Pathology, Galliera Hospital, GenoaUO Hematology and Cellular Therapies, IRCCS San Martino Polyclinic Hospital, Genoa Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare hematologic neoplasm (less than 1% of primary cutaneous lymphomas and acute leukemia) with a highly aggressive clinical course and frequent skin, bone marrow and central nervous system (CNS) involvement. Despite a frequent initial response to chemotherapy, relapses with eventual leukemic dissemination are extremely common, leading to poor outcomes and a median overall survival (OS) ranging from 8 to 14 months in first line setting, with standard combination chemotherapy regimens. The skin is the first affected site (in almost 90% of patients) where BPDCN may remain confined for weeks or even months (sanctuary?) until a rapid second step with multiorgan involvement occurs. Therefore, it is of uppermost importance to suspect and recognize early skin lesions and to perform and report a skin biopsy as soon as possible. A multidisciplinary approach with coordination among dermatologists, pathologists and hematologists is definitively crucial in diagnosis and management of BPDCN. https://pagepress.org/journals/index.php/dr/article/view/9781Blastic plasmacytoid dendritic cell neoplasmcutaneous lymphomatagraxofuspplasmacytoid dendritic cellsCD123
spellingShingle Cesare Massone
Giulia Rivoli
Simona Sola
Emanuele Angelucci
Blastic plasmacytoid dendritic cell neoplasm: a short review and update
Dermatology Reports
Blastic plasmacytoid dendritic cell neoplasm
cutaneous lymphoma
tagraxofusp
plasmacytoid dendritic cells
CD123
title Blastic plasmacytoid dendritic cell neoplasm: a short review and update
title_full Blastic plasmacytoid dendritic cell neoplasm: a short review and update
title_fullStr Blastic plasmacytoid dendritic cell neoplasm: a short review and update
title_full_unstemmed Blastic plasmacytoid dendritic cell neoplasm: a short review and update
title_short Blastic plasmacytoid dendritic cell neoplasm: a short review and update
title_sort blastic plasmacytoid dendritic cell neoplasm a short review and update
topic Blastic plasmacytoid dendritic cell neoplasm
cutaneous lymphoma
tagraxofusp
plasmacytoid dendritic cells
CD123
url https://pagepress.org/journals/index.php/dr/article/view/9781
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AT emanueleangelucci blasticplasmacytoiddendriticcellneoplasmashortreviewandupdate