Case for diagnosis

Autor: Gustavo Ávila Maquiné, Maria de Fátima Maroja, Cristina Rabello Mesquita, Petra Pereira de Sousa, Patrícia Motta de Morais, Carolina Talhari
Jazyk: English<br />Portuguese
Rok vydání: 2014
Předmět:
Zdroj: Anais Brasileiros de Dermatologia, Vol 89, Iss 4, Pp 675-676 (2014)
Druh dokumentu: article
ISSN: 0365-0596
1806-4841
DOI: 10.1590/abd1806-4841.20142955
Popis: We report the case of a 81-year-old female patient who had a two-year history of violet-colored erythematous tumors on both legs. Histopathological and immunohistochemical examinations confirmed the diagnosis of primary cutaneous large B-cell lymphoma, leg type. This rare, cutaneous lymphoma affects predominantly elderly females. Clinically, patients present with tumoral lesions on one or both legs (worst prognosis). Diagnosis is based on clinical, histopathological and immunohistochemical findings. The strong expression of BCL2, BCL6, MUM-1 and CD20, and the positivity for Ki67 antigen confirm the diagnosis. R-CHOP chemotherapy regimen (rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone) is the most widely accepted treatment.
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