Cutaneous B-lymphomas

From WikiLectures

Primary cutaneous marginal zone B-lymphoma[edit | edit source]

Marginal zone B-lymphoma is characterized by proliferation of small lymphocytes and plasma cells.

Clinical picture[edit | edit source]

(Sub)cutaneous tumors affecting mainly the limbs with solitary or multiple occurrence.

Histopathological image[edit | edit source]

Infiltrates of small lymphocytes , lymphoplasmacytoid cells and plasma cells are clearly visible .

Therapy[edit | edit source]

Radiotherapy has the best results.

Course and prognosis[edit | edit source]

Chronic course with almost 100% survival after 5 years.

Primary cutaneous B-lymphoma from follicular centers[edit | edit source]

It is composed of a mixture of centrocytes and centroblasts. By cells formed from cells in the germinal center.

Clinical picture[edit | edit source]

They usually appear as smooth papules with annular erythema most often on the head, neck or trunk.

Therapy[edit | edit source]

Radiotherapy is most often used simultaneously with excision of the lesion. In more severe cases polychemotherapy.

Course and prognosis[edit | edit source]

Survival 95% at 5 years, but recurrences are possible.

Primary cutaneous diffuse large cell lymphoma of the lower extremities[edit | edit source]

B-lymphoma with a predominance of large lymphocytes forming on the legs. It affects women more often than men over the age of 70.

Clinical picture[edit | edit source]

Red to bluish bumps and tumors on both or one limb. They can also affect other organs.

Histopathological image[edit | edit source]

Diffuse infiltrates with mainly large B-lymphocytes are clearly visible.

Therapy[edit | edit source]

Solitary lesions are treated with radiotherapy, in other cases polychemotherapy is used.

Course and prognosis[edit | edit source]

Chronic course with recurrences with a survival rate of 55% after 5 years.


Links[edit | edit source]

related articles[edit | edit source]

References[edit | edit source]

  • ŠTORK, Jiří, et al. Dermatovenerologie. 1. edition. Praha : Galén, Karolinum, 2008. 502 pp. ISBN 978-80-7262-371-6.

ŠTORK, Jiří, et al. Dermatovenerology. 1st edition. Prague: Galén, Karolinum, 2008. 502 pp. ISBN 978-80-7262-371-6.