Korean J Dermatol.
1999 Sep;37(9):1330-1334.
A Case of Cutaneous Diffuse Large B-Cell Lymphoma
- Affiliations
-
- 1Department of Dermatology, College of Medicine, Chung-Ang University, Seoul, Korea.
- 2Department of Pathology, College of Medicine, Chung-Ang University, Seoul, Korea.
Abstract
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We report a case of cutaneous B cell lymphoma in a 65-year-old male who had several bizarre
shaped erythematous to brownish plaques on the both shins for 2 months. An abdominal CT scan
revealed gastrohepatic ligament, retroperitoneal, mesenteric and bilateral external iliac
lymphadenopathies. Histologic examinations revealed diffuse dense infiltration of the large atypical
cells with vesicular nucleus and prominent nucleoli in the entire dermis. They showed a positive
reaction to the LCA, CD20 and kappa light chain in the immunohistochemical study, suggesting that
these neoplastic lymphoid cells are B cell lineage. We treated him with COPBLAM-V regimen. In
the course of treatment, new skin lesions developed on both upper arms and herpes zoster on the
left thigh. So we changed the regimen into IMVP-16. No relapses have been found up to the
present date for 9 months.