Onkologie. 2018:12(3):105-110 | DOI: 10.36290/xon.2018.021

Pitfalls in cutaneous lymphoma diagnosis – a pathologists point of view

Kateřina Kamarádová
Fingerlandův ústav patologie, Fakultní nemocnice Hradec Králové

Diagnosis of cutaneous lymphomas is one of the most complex and difficult parts of hematopathology particularly due to widerange of differential diagnosis from group of benign inflammatory lymphoproliferative lesions. Besides morphology, the diagnosisrely upon using immunohistochemisty, in situ hybridization (including fluorescent ISH) and molecular methods, mainly polymerasechain reaction (PCR) testing, to determine the type of B-cell receptor and or T-cell receptor rearrangement in particular.Nevertheless, there still exists a variety of overlapping and lymphoma-like appearing entities which needs to be rule out be forestablishing a diagnosis of malignit lymphoma. Next to the help of ancillary studies, clinical correlation and relevant clinical datasent to the pathologist are one of the most important clues in lymphoma diagnosis. This review article provils an overview ofdiagnostic possibilities in lymphoma diagnosis including current classification of cutaneous lymphomas as well as points outpossible pitfalls and troubles in terms of differential diagnosis of the most common types of cutaneous lymphomas.

Keywords: cutaneous lymphoma, hematopathology, pathology, immunohistochemistry, molecular methods, cutaneous lymphoma
classification

Published: June 1, 2018  Show citation

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Kamarádová K. Pitfalls in cutaneous lymphoma diagnosis – a pathologists point of view. Onkologie. 2018;12(3):105-110. doi: 10.36290/xon.2018.021.
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References

  1. Swerdlow SH, Campo E, Pileri SA, et al. The 2016 revision of the World Health Organization classification oflymphoid neoplasms. Blood 2016; 127(20): 2375-2390. Go to original source...
  2. Swerdlow SH, Campo E, Harris NL, et al. WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues, WHO Classification of Tumours, Revised 4th Edition, Volume 2, Lyon, IARC, 2017; 586 s.
  3. Willemze R, Kerl H, Sterry W, et al. ERTC Classification for Primary Cutaneous Lymphomas: A Proposal Fromthe Cutaneous Lymphoma Study Group of the European Organization for Research and Treatment of Cancer. Blood 1997; 90 (1): 354-371.
  4. Willemze R, Jaffe ES, Burg G, et al. WHO-EORTC classification for cutaneous lymphomas. Blood 2005;105(10): 3768-3785. Go to original source...
  5. LeBoit PE, Burg G, Weedon D, Sarasin A, et al. WHO Classification of Tumours, Pathology and Genetics of Skin Tumours, 3rd Edition, Volume 6, Lyon, IARC, 2006: 166-225.
  6. Kempf W, Kazakov DV, Kerl K. Cutaneous Lymphomas: An Update. Part 1: T-Cell and Natural Killer/T-Cell Lymphomas and Related Conditions. Am J Dermatopathol 2014; 36: 105-123. Go to original source... Go to PubMed...
  7. Kempf W, Kazakov DV, Mitteldorf C. Cutaneous Lymphomas: An Update. Part 2: B-Cell Lymphomas and Related. Am J Dermatopathol 2014; 36: 197-210. Go to original source... Go to PubMed...
  8. Dewar R, Andea AA, Guitart J, et al. Workup of Cutaneous Lymphoid Lesions in the Diagnosis of Primary Cutaneous Lymphoma Arch Pathol Lab Med. 2015; 139: 338-350. Go to original source...
  9. Schafernak KT, Variakojis D, Goolsby CL, et al. Clonality assessment of cutaneous B-cell lymphoid proliferations: a comparison of flow cytometry immunophenotyping, molecular studies, and immunohistochemistry/in situ hybridization and review of the literature. Am J Dermatopathol. 2014; (10):781-795. Go to original source...
  10. van Dongen JJM, Langerak AW, Brüggemann M, et al. Design and standardization of PCR primers and protocols for detection of clonal immunoglobulin and T-cell receptor gene recombinations in suspect lymphoproliferations: Report of the BIOMED-2 Concerted Action BMH4-CT98-3936 Leukemia 2003; 17: 2257-2317. Go to original source...
  11. Boudova L, Kazakov D, Sima R, et al. Cutaneous lymphoid hyperplasia and other lymphoid infiltrates of the breast nipple: a retrospective clinicopathologic study of fifty-six patients. Am J Dermatopathol. 2005; Oct; 27(5): 375-386. Go to original source... Go to PubMed...
  12. Schiller PI; Flaig MJ; Puchta U, et al. Detection of clonal T cells in lichen planus. Arch Dermatol Res. 2000; (11): 568-569. Go to original source...
  13. Smith DI, Vnencak-Jones CL, Boyd AS. T-lymphocyte clonality in benign lichenoid keratoses. J Cutan Pathol. 2002; (10): 623-624. Go to original source...
  14. Sarantopoulos GP, Palla B, Said J, et al. Mimics of Cutaneous Lymphoma: Report of the 2011 Society for Hematopathology/European Association for Haematopathology Workshop. Am J Clin Pathol. 2013; 139(4): 536-551. Go to original source...
  15. Kempf W, Mitteldorf C, Karai LR, et al. Lymphomatoid papulosis - making sense of the alphabet soup: a proposal to simplify terminology. J Dtsch Dermatol Ges 2017; 15(4): 390-394. Go to original source...
  16. Gallardo F, Barranco C, Toll A, et al. CD30 antigen expression in cutaneous inflammatory infiltrates of scabies: a dynamic immunophenotypic pattern that should be distinguished from lymphomatoid papulosis. J Cutan Pathol 2002; 29: 368-373. Go to original source... Go to PubMed...
  17. Werner B, Massone C, Kerl H, et al. Large CD30-positive cells in benign, atypical lymphoid infiltrates of the skin. J Cutan Pathol 2008; 35: 1100-1107. Go to original source... Go to PubMed...
  18. Garcia-Herrera A, Colomo L, Camós M, et al. Primary cutaneous small/medium CD4+ T-cell lymphomas: a heterogeneous group of tumors with different clinicopathologic features and outcome. J Clin Oncol. 2008; 26(20): 3364-3371. Go to original source... Go to PubMed...
  19. Grogg KL, Jung S, Erickson LA, et al. Primary cutaneous CD4-positive small/medium-sized pleomorphic T-cell lymphoma: a clonal T-cell lymphoproliferative disorder with indolent behavior. Mod Pathol. 2008; (6): 708-715. Go to original source...
  20. Hathuc VM, Hristov AC, Smith LB. Primary Cutaneous Acral CD8+ T-Cell Lymphoma. Arch Pathol Lab Med. 2017; Nov;141(11): 1469-1475. Go to original source... Go to PubMed...
  21. Robson A, Assaf C, Bagot M, et al. Aggressive epidermotropic cutaneous CD8+ lymphoma: a cutaneous lymphoma with distinct clinical and pathological features. Report of an EORTC Cutaneous Lymphoma Task Force Workshop. Histopathology. 2015; (4): 425-441. Go to original source... Go to PubMed...




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