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Contributor

Simon Yoo, MD

Diagnosis

lymphoma, T-cell lymphoma

Body Site

back

Age

62 years

Pigmentation

light

Organization

Color

red

Morphology

papulosquamous (bump, scale)

Pattern

asymmetric

Comments

This 62 year old man developed a solitary red plaque on his back 6 months earlier. A complete medical examination failed to reveal any other cutaneous or systemic involvement. A skin biopsy showed the characteristic changes of cutaneous T-cell lymphoma. Lymphocyte markers (increased CD3, CD4, and decreased CD 7) are also typical of T-cell lymphoma.

Description

There is a uniform mononuclear cell infiltrate in the usperficial dermis with scattered aggregates of mononuclear cells (Pautrier microabscesses) in the epidermis. Hyperkeratosis and parakeratosis is present in the overlying epidermis..

Categories

neoplasm, malignant lumps & bumps (plaques, nodules, tumors) papulosquamous eruptions

Image Added

10/29/2002 22:45:29

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PubMed Medline Plus Medscape

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