Aggressive Rare T-cell Lymphomas with Manifestation in the Skin: A Monocentric Cross-sectional Case Study

Rare T- or NK-cell lymphomas with cutaneous manifestation may display a highly aggressive clinical course and major diagnostic/therapeutic challenges. This report describes our experiences with different lymphomas of this rare category and the therapeutic options used. This retrospective, descriptiv...

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Main Authors: Marie-Charlotte Brüggen, Katrin Kerl, Eugenia Haralambieva, Urs Schanz, Yun-Tsan Chang, Desislava Ignatova, Reinhard Dummer, Antonio Cozzio, Wolfram Hoetzenecker, Lars E. French, Emmanuella Guenova
Format: Article
Language:English
Published: Medical Journals Sweden 2018-07-01
Series:Acta Dermato-Venereologica
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Online Access: https://www.medicaljournals.se/acta/content/html/10.2340/00015555-2950
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author Marie-Charlotte Brüggen
Katrin Kerl
Eugenia Haralambieva
Urs Schanz
Yun-Tsan Chang
Desislava Ignatova
Reinhard Dummer
Antonio Cozzio
Wolfram Hoetzenecker
Lars E. French
Emmanuella Guenova
author_facet Marie-Charlotte Brüggen
Katrin Kerl
Eugenia Haralambieva
Urs Schanz
Yun-Tsan Chang
Desislava Ignatova
Reinhard Dummer
Antonio Cozzio
Wolfram Hoetzenecker
Lars E. French
Emmanuella Guenova
author_sort Marie-Charlotte Brüggen
collection DOAJ
description Rare T- or NK-cell lymphomas with cutaneous manifestation may display a highly aggressive clinical course and major diagnostic/therapeutic challenges. This report describes our experiences with different lymphomas of this rare category and the therapeutic options used. This retrospective, descriptive, monocentric, cross-sectional case study, identified 4 rare aggressive T-/NK-cell lymphomas with manifestation in the skin, which were diagnosed in a tertiary care centre over a period of 4 years. Two patients had an Epstein-Barr virus-associated extranodal NK/T-cell lymphoma and 2 patients had a primary cutaneous CD8+ aggressive epidermotropic cytotoxic T-cell lymphoma. Concomitant extracutaneous involvement was observed in 2 of all 4 patients. Two patients had fulminant disease progression and resistance to chemotherapy. Two patients underwent allogeneic haematopoietic stem cell transplantation, which resulted in one complete remission and one partial remission. This report emphasizes the importance of an early diagnostic work-up and a prompt aggressive therapeutic approach.
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spelling doaj.art-70fbda1f6fe84108b577265160ad9f1c2022-12-22T04:06:14ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572018-07-0198983584110.2340/00015555-29505221Aggressive Rare T-cell Lymphomas with Manifestation in the Skin: A Monocentric Cross-sectional Case StudyMarie-Charlotte Brüggen0Katrin KerlEugenia HaralambievaUrs SchanzYun-Tsan ChangDesislava IgnatovaReinhard DummerAntonio CozzioWolfram HoetzeneckerLars E. FrenchEmmanuella Guenova Department of Dermatology, University Hospital Zurich, CH-8091 Zurich, Switzerland. Rare T- or NK-cell lymphomas with cutaneous manifestation may display a highly aggressive clinical course and major diagnostic/therapeutic challenges. This report describes our experiences with different lymphomas of this rare category and the therapeutic options used. This retrospective, descriptive, monocentric, cross-sectional case study, identified 4 rare aggressive T-/NK-cell lymphomas with manifestation in the skin, which were diagnosed in a tertiary care centre over a period of 4 years. Two patients had an Epstein-Barr virus-associated extranodal NK/T-cell lymphoma and 2 patients had a primary cutaneous CD8+ aggressive epidermotropic cytotoxic T-cell lymphoma. Concomitant extracutaneous involvement was observed in 2 of all 4 patients. Two patients had fulminant disease progression and resistance to chemotherapy. Two patients underwent allogeneic haematopoietic stem cell transplantation, which resulted in one complete remission and one partial remission. This report emphasizes the importance of an early diagnostic work-up and a prompt aggressive therapeutic approach. https://www.medicaljournals.se/acta/content/html/10.2340/00015555-2950 lymphomamanifestationintheskinENKTLPC-AECTLallogeneichematopoieticstemcelltransplantation
spellingShingle Marie-Charlotte Brüggen
Katrin Kerl
Eugenia Haralambieva
Urs Schanz
Yun-Tsan Chang
Desislava Ignatova
Reinhard Dummer
Antonio Cozzio
Wolfram Hoetzenecker
Lars E. French
Emmanuella Guenova
Aggressive Rare T-cell Lymphomas with Manifestation in the Skin: A Monocentric Cross-sectional Case Study
Acta Dermato-Venereologica
lymphoma
manifestationintheskin
ENKTL
PC-AECTL
allogeneichematopoieticstemcelltransplantation
title Aggressive Rare T-cell Lymphomas with Manifestation in the Skin: A Monocentric Cross-sectional Case Study
title_full Aggressive Rare T-cell Lymphomas with Manifestation in the Skin: A Monocentric Cross-sectional Case Study
title_fullStr Aggressive Rare T-cell Lymphomas with Manifestation in the Skin: A Monocentric Cross-sectional Case Study
title_full_unstemmed Aggressive Rare T-cell Lymphomas with Manifestation in the Skin: A Monocentric Cross-sectional Case Study
title_short Aggressive Rare T-cell Lymphomas with Manifestation in the Skin: A Monocentric Cross-sectional Case Study
title_sort aggressive rare t cell lymphomas with manifestation in the skin a monocentric cross sectional case study
topic lymphoma
manifestationintheskin
ENKTL
PC-AECTL
allogeneichematopoieticstemcelltransplantation
url https://www.medicaljournals.se/acta/content/html/10.2340/00015555-2950
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