Early Organ Metastasis in Granulomatous Mycosis Fungoides: A Systematic Review.

Autor: Motamedi, Melika, Xiao, Maggie Z.X., Deschenes, Jean, Hardin, Jori, Sterrett, Russell, Street, Lesley, Taparia, Minakshi, Mahe, Etienne, Ferrara, Giovanni, Barrie, James R., Gniadecki, Robert
Předmět:
Zdroj: Dermatology (10188665); 2024, Vol. 240 Issue 3, p468-473, 6p
Abstrakt: Background: Granulomatous mycosis fungoides (GMF) is a rare form of cutaneous T-cell lymphoma characterized by a granulomatous inflammatory infiltrate. Objective: The impact of granulomatous inflammation on the prognosis of the disease remains controversial as there have been both favorable and unfavorable outcomes documented. Methods: We performed a systematic review of 116 GMF cases previously described in the literature. Results: In contrast to the classic Alibert-Bazin type of mycosis fungoides (MF), cutaneous lesions in GMF tend to involve distal extremities (lower legs, feet, hands) early in the disease course. In the literature, 30% of GMF patients developed organ metastasis, most frequently to the lung. The median time to stage progression was 25 months. Conclusion: GMF is an aggressive form of MF. Therefore, screening for distant metastases should be considered at presentation and repeated during follow-up. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index