Linfoma Cutâneo Primário de Grandes Células B, Tipo Perna: Relato de Caso com Apresentação Rara

Palavras-chave: Linfoma Difuso de Grandes Células B/diagnóstico, Linfoma Difuso de Grandes Células B/tratamento, Neoplasias da Pele

Resumo

Linfomas cutâneos primários são definidos como um grupo heterogéneo de neoplasias malignas linfoproliferativas que acometem a pele, sem evidência de envolvimento extracutâneo no momento do diagnóstico. O subgrupo “linfoma cutâneo primário de grandes células B, tipo perna (PCLBCL, LT)” geralmente acomete um ou ambos membros inferiores, porém 10% - 15% dos casos apresentam lesões em outros locais. Apresenta-se um caso raro de PCLBCL, LT com lesão nodular na região cervical posterior, enfatizando sua apresentação atípica. Considerando o crescimento rápido da lesão e o alto índice proliferativo, é importante conhecer todas as possíveis apresentações clínicas para assim realizar o diagnóstico precoce e instituir o tratamento efetivo.

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Referências

Hope CB, Pincus, LB. Primary cutaneous b-cell lymphomas. Clin Lab Med. 2017; 37: 547-74.

Sousa AR, Filho EF, Miranda WL, Costa IS, Jucá NB. Primary cutaneous large B-cell lymphoma of atypical presentation - Case report. An Bras Dermatol. 2011; 86:549-51.

Marrero-Alemán G, Montenegro-Dámaso T, Peñate Y. Primary cutaneous diffuse large B-cell lymphoma, leg type, with spontaneous regression after biopsy. Am J Dermatopathol. 2017; 39: 785-7. doi: 10.1097/DAD.0000000000000874.

Wilcox RA. Cutaneous B-cell lymphomas: 2019 update on diagnosis, risk stratification, and management. Am J Hematol. 2018; 93: 1427–30. doi: 10.1002/ajh.25224.

Vermeer MH, Willemze R. Recent advances in primary cutaneous B-cell lymphomas. Curr Opin Oncol. 2014; 26: 230-6. doi: 10.1097/CCO.0000000000000060.

Osada S, Fujiwara Y, Higashi N, Nakayama K, Hosone M, Inokuchi K et al. Primary cutaneous diffuse large B cell lymphoma, leg type, localized in the right periorbital region. J Dermatol. 2018 ;46(4):e130-1. doi: 10.1111/1346-8138.14657.

Goyal A, Carter JB, Barnes JA, Duncan LM. Primary Cutaneous Diffuse Large B-Cell Lymphoma, Leg Type. In: Carter J, Goyal A, McDivitt Duncan L, editors. Atlas of Cutaneous Lymphomas. Berlin: Springer; 2015.

Patsatsi A, Kyriakou A, Karavasilis V, Panteliadou K, SotiriadisD. Primary cutaneous diffuse large B-cell lymphoma, leg type, with multiple local relapses: case presentation and brief review of literature. Hippokratia. 2013; 17: 174-6.

KhatibY, Dande M, Patel RD, Makhija M. Primary cutaneous large B-cell lymphoma of scalp: Case report of a rare variant. Indian J Pathol Microbiol. 2017;60:268-71. doi: 10.4103/0377-4929.208414.

Pinter-Brown LC. Diagnosis and management of cutaneous B-cell lymphoma. Dermatol Clin. 2015; 33: 835-40.

Willemze R, Cerroni L, Kempf W, Berti E, Facchetti F, Swerdlow SH, et al. The 2018 update of the WHO-EORTC classification for primary cutaneous lymphomas. Blood. 2019;133:1703-14. doi: 10.1182/blood-2018-11-881268.

Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri AS, Stein H, et al. WHO classification of Tumors of Haematopoietic and Lymphoid Tissues. 4th ed. Lyon: International Agency for Researchon Cancer; 2017.

Willemze R, Jaffe ES, Burg G, Cerroni L, Berti E, Swerdlow SH, et al. WHO-EORTC classification for cutaneous lymphomas. Blood 2005; 105: 3768-85.

Sokol L, Naghashpour M, Glass F. Primary cutaneous B cell lymphomas: recent advances in diagnosis and management. Cancer Control. 2012; 19:236-44.

Thomas V, Dobson R, Mennel R. Primary cutaneous large B cell lymphoma, leg type. Proc. 2011; 24:350-3.

Hristov AC. Primary cutaneous diffuse large B-cell lymphoma, leg type. Arch Pathol Lab Med. 2012; 13:876-81.

Senff NJ, Hoefnagel JJ, Jansen PM, Vermeer MH, Baarleen JV, Blokx WA, et al. Reclassification of 300 Primary Cutaneous B-Cell Lymphomas According to the New WHO–EORTC Classification for Cutaneous Lymphomas: Comparison With Previous Classifications and Identification of Prognostic Markers. J Clin Oncol. 2007; 25:1581-7.

Pham-Ledard A, Cappellen D, Martinez F, Vergier B, BeylotBarry M, Merlio JP. MYD88 somatic mutation is a genetic feature of primary cutaneous diffuse large B-cell lymphoma, leg type. J Invest Dermatol. 2012; 132:2118-20. doi: 10.1038/jid.2012.102.

Pham-Ledard A, Beylot-Barry M, Barbe C, Leduc M, Petrella T, Vergier B, et al. High frequency and clinical prognostic value of MYD88 L265P mutation in primary cutaneous diffuse large B-cell lymphoma, leg-type. JAMA Dermatol. 2014; 150:1173-9. doi: 10.1001/jamadermatol.2014.821.

Toberer F, Mechtersheimer G, Jaschinski H, Enk A, Hakim-Meibodi L, Haenssle HA. Spontaneous regression of primary cutaneous diffuse large B-cell lymphoma, leg type. Acta Derm Venereol. 2018; 98: 608-9. doi: 10.2340/00015555-2921.

Jimura N, Fujii K, Baba A, Higashi Y, Kanekura T. Spontaneous regression of a primary cutaneous diffuse large B-cell lymphoma, leg type. J Dermatol. 2017;44: 608-9. doi: 10.1111/1346-8138.13496.

Kempf W, Denisjuk N, Kerl K, Cozzio A, Sander C. Primary cutaneous B-cell lymphomas. J Dtsch Dermatol Ges. 2012; 10:12-22. doi: 10.1111/j.1610-

-0387.2011.07852.x.

Zinzani PL, Quaglino P, Pimpinelli N, Berti E, Baliva G, Rupoli S, et al. Prognostic factors in primary cutaneous B-cell lymphoma: The Italian Study Group for Cutaneous Lymphomas. J Clin Oncol. 2006; 24:1376-82.

Grange F, Beylot-Barry M, Courville P, Maubec E, Bagot M, Vergier B, et al. Primary cutaneous diffuse large B-cell lymphoma, leg type: clinicopathologic features and prognostic analysis in 60 cases. Arch Dermatol. 2007;143:1144-50.

Lima M. Cutaneous primary B-cell lymphomas: from diagnosis to treatment. An Bras Dermatol. 2015; 90:687- 706.

Publicado
2020-05-06
Como Citar
Sousa, N. A., Buffara, M. O., Maia, R. L., Pessoa, A. S., Cassia, F., & Brotas, A. M. (2020). Linfoma Cutâneo Primário de Grandes Células B, Tipo Perna: Relato de Caso com Apresentação Rara. Revista Da Sociedade Portuguesa De Dermatologia E Venereologia, 78(1), 61-65. https://doi.org/10.29021/spdv.78.1.1144
Secção
Casos Clínicos