Abstract
Cutaneous T-cell lymphomas represent a rare type of non-Hodgkin lymphoma. Mycosis fungoides and Sézary syndrome are the most common and representative variants of cutaneous T-cell lymphomas. Both neoplasms occur primarily in older adults, with a peak incidence between 50 and 70 years of age. This paper analyzes the case of a 49-year-old male patient who presented with a 7-month history of clinical symptoms characterized by unmeasured fever, pruritic erythroderma, and generalized lymphadenopathy. A skin and cervical lymphadenopathy biopsy was performed, revealing histopathological evidence of mycosis fungoides. Immunohistochemistry revealed atypical lymphocytes in the papillary dermis and epidermis expressing CD3 and CD4, while CD8 and CD20 were negative. Clinico-pathological evaluation led to a diagnosis of mycosis fungoides.
References
Pujol, R. M., & Gallardo, F. (2021). Linfomas cutáneos. Parte I: micosis fungoide, síndrome de Sézary y proliferaciones linfoides cutáneas CD30 positivas. Actas Dermo-Sifiliográficas, 112(1), 14-23. DOI: 10.1016/j.ad.2020.08.003
Trautinger, F., et al. (2017). European Organisation for Research and Treatment of Cancer consensus recommendations for the treatment of mycosis fungoides/Sézary syndrome - Update 2017. European journal of cancer (Oxford, England : 1990), 77, 57–74. https://doi.org/10.1016/j.ejca.2017.02.027
Gómez, S., & Pérez, N. (2001). Micosis fungoide y síndrome de Sézary. Actas Dermo-Sifiliográficas, 92(5), 193-206. https://actasdermo.org/es-micosis-fungoide-sindrome-sezary-articulo-13014774?form=MG0AV3
Leigh I. M. (2005). Cancer of the Skin. British Journal of Cancer, 92(10), 1953–1954. https://doi.org/10.1038/sj.bjc.6602578
Garzona Navas, L., Moreira Hidalgo, F., Hidalgo Matlock, B., & Siles Briceño, R. (2007). Micosis Fungoide: Revisión de tema y presentación de un caso. Revista Costarricense de salud pública, 16(30), 46-53. https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-14292007000100007
Willemze, R., Cerroni, L., Kempf, W., Berti, E., Facchetti, F., Swerdlow, S. H., & Jaffe, E. S. (2019). The 2018 update of the WHO-EORTC classification for primary cutaneous lymphomas. Blood, The Journal of the American Society of Hematology, 133(16), 1703-1714. https://doi.org/10.1182/blood-2018-11-881268
Girardi, M., Heald, P. W., & Wilson, L. D. (2017). The spectrum of cutaneous T-cell lymphomas: New insights into biology and therapy. Current Opinion in Hematology, 24(2), 95-102. DOI: https://10.1097/01.moh.0000166498.64515.03
LeBoit, PE (Ed.). (2006). Patología y genética de los tumores cutáneos: Clasificación de tumores de la OMS, Volumen 6 (Vol. 6). IARC. https://publications.iarc.fr/Book-And-Report-Series/Who-Classification-Of-Tumours/Pathology-And-Genetics-Of-Skin-Tumours-2005
Acar, M. R., & Vázquez, O. E. G. (2004). Micosis fungoide: comunicación de un caso. Revista del Centro Dermatológico Pascua, 13(2), 95-98. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=491
Jawed, SI, Myskowski, PL, Horwitz, S., Moskowitz, A. y Querfeld, C. (2014). Linfoma cutáneo primario de células T (micosis fungoide y síndrome de Sézary): parte I. Diagnóstico: características clínicas e histopatológicas y nuevos marcadores moleculares y biológicos. Journal of the American Academy of Dermatology , 70 (2), 205-e1.
