Perils and pitfalls regarding differential diagnosis and treatment of primary cutaneous anaplastic large-cell lymphoma.

Perils and pitfalls regarding differential diagnosis and treatment of primary cutaneous anaplastic large-cell lymphoma.
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DOI:
10.1100/tsw.2011.80
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发表时间:
2011-05-05
影响因子:
--
通讯作者:
Myrou AD
Myrou AD
中科院分区:
其他
文献类型:
--
作者:
Diamantidis MD;Myrou AD

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原发性皮肤间变性大细胞淋巴瘤(PC-ALCL)属于 CD30+ T 细胞淋巴增殖性疾病(PCLPD),是一种罕见的 T 细胞淋巴瘤,出现在皮肤上,大多数病例预后良好,对治疗有反应。然而,PC-ALCL 必须与系统性 ALCL 的继发性皮肤病变(后者预后不良)和其他 CD30+ PCLPD、反应性疾病或边缘病例区分开来。鉴于其稀有性和异质性,这些实体代表了诊断和治疗的挑战,因此需要多学科方法和专业知识来确保适当的诊断和管理。 PC-ALCL 的鉴别诊断、可能的进展和治疗存在一些危险和陷阱。仔细的分期、临床结果与组织病理学和免疫病理学的相关性以及彻底的随访对于实现疾病的正确诊断和正确治疗至关重要。
Primary cutaneous anaplastic large-cell lymphoma (PC-ALCL), belonging to the CD30+ T-cell lymphoproliferative disorders (PCLPDs), is a rare T-cell lymphoma, presenting on the skin and characterized by very good prognosis and response to treatment in the majority of cases. Nevertheless, PC-ALCL must be distinguished from secondary skin lesions in systemic ALCL, which confer a poor prognosis, and other CD30+ PCLPDs, reactive conditions, or borderline cases. Given their rarity and heterogeneity, these entities represent diagnostic and therapeutic challenges, thus requiring a multidisciplinary approach and expertise to ensure appropriate diagnosis and management. There are several perils and pitfalls that exist regarding the differential diagnosis, the possible progression, and the treatment of PC-ALCL. Careful staging, correlation of clinical findings with histopathology and immunopathology, and thorough follow-up are essential in order to achieve a correct diagnosis and proper treatment of the disease.
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