Unilesional mycosis fungoides: A distinct entity
Four cases of solitary lesions showing the histologic features of mycosis fungoides are described. Three patients had an erythematous scaling plaque, whereas the fourth had a solitary nodule. The lesion was located on the arm in two patients, on the foot in one patient, and on the back in one patien...
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| Veröffentlicht in: | Journal of the American Academy of Dermatology 1989, Vol.20 (1), p.63-70 |
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| container_title | Journal of the American Academy of Dermatology |
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| creator | Oliver, G. Fergus Winkelmann, R.K. |
| description | Four cases of solitary lesions showing the histologic features of mycosis fungoides are described. Three patients had an erythematous scaling plaque, whereas the fourth had a solitary nodule. The lesion was located on the arm in two patients, on the foot in one patient, and on the back in one patient. No preceding factors were noted, and no lymphadenopathy or other significant illness was found on examination. Histologic examination demonstrated features of a cutaneous T cell lymphoma with epidermotro-pism. Monoclonal markers on frozen and paraffin sections revealed a predominant T cell infiltrate. Three patients were treated with local excision. The remaining patient was treated with radiotherapy. The lesions have not recurred, and no new lesions have developed after individual follow-up of 7 months, 7 1/2 months, 13 years, and 18 years. These cases appear to be unique reports of solitary mycosis fungoides behaving in a biologically benign manner. The relationship to Woringer-Kolopp disease and lymphoma-toid papulosis is discussed. |
| doi_str_mv | 10.1016/S0190-9622(89)70008-6 |
| format | Article |
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Fergus</creatorcontrib><creatorcontrib>Winkelmann, R.K.</creatorcontrib><title>Unilesional mycosis fungoides: A distinct entity</title><title>Journal of the American Academy of Dermatology</title><addtitle>J Am Acad Dermatol</addtitle><description>Four cases of solitary lesions showing the histologic features of mycosis fungoides are described. Three patients had an erythematous scaling plaque, whereas the fourth had a solitary nodule. The lesion was located on the arm in two patients, on the foot in one patient, and on the back in one patient. No preceding factors were noted, and no lymphadenopathy or other significant illness was found on examination. Histologic examination demonstrated features of a cutaneous T cell lymphoma with epidermotro-pism. Monoclonal markers on frozen and paraffin sections revealed a predominant T cell infiltrate. Three patients were treated with local excision. The remaining patient was treated with radiotherapy. The lesions have not recurred, and no new lesions have developed after individual follow-up of 7 months, 7 1/2 months, 13 years, and 18 years. These cases appear to be unique reports of solitary mycosis fungoides behaving in a biologically benign manner. The relationship to Woringer-Kolopp disease and lymphoma-toid papulosis is discussed.</description><subject>Aged</subject><subject>B-Lymphocytes - pathology</subject><subject>Biological and medical sciences</subject><subject>Cell Nucleus - ultrastructure</subject><subject>Epidermis - pathology</subject><subject>Epidermis - ultrastructure</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Keratosis - pathology</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycosis Fungoides - pathology</subject><subject>Mycosis Fungoides - ultrastructure</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - ultrastructure</subject><subject>T-Lymphocytes - pathology</subject><issn>0190-9622</issn><issn>1097-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LwzAYx4Moc04_wqAHET1UkzZtEi8yhm8w8KA7hzR5KpE21aQV9u3NtrKrp-fw_z1vP4TmBN8STMq7d0wETkWZZddc3DCMMU_LIzQlWLC0ZJwdo-kBOUVnIXxFRtCcTdAkYzwvBJ0ivHa2gWA7p5qk3egu2JDUg_vsrIFwnywSY0Nvne4TcL3tN-fopFZNgIuxztD66fFj-ZKu3p5fl4tVqinhfZprULQUDGrKQJiqUqzIClwKU8QcTE4rShTD8RXNKioY5SAKbShnghhF8xm62s_99t3PAKGXrQ0amkY56IYgGecFoSSLYLEHte9C8FDLb29b5TeSYLk1JXem5FaD5ELuTMky9s3HBUPVgjl0jWpifjnmKmjV1F45bcMBY9vlIo_Ywx6DKOPXgpdBW3AajPWge2k6-88hf5QOg7Q</recordid><startdate>1989</startdate><enddate>1989</enddate><creator>Oliver, G. 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Fergus ; Winkelmann, R.K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-3cea4697ef47e9dbba7525069d5418ed34b41a70101c7b49748e95cd48791da43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Aged</topic><topic>B-Lymphocytes - pathology</topic><topic>Biological and medical sciences</topic><topic>Cell Nucleus - ultrastructure</topic><topic>Epidermis - pathology</topic><topic>Epidermis - ultrastructure</topic><topic>Female</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Keratosis - pathology</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycosis Fungoides - pathology</topic><topic>Mycosis Fungoides - ultrastructure</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - ultrastructure</topic><topic>T-Lymphocytes - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oliver, G. Fergus</creatorcontrib><creatorcontrib>Winkelmann, R.K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oliver, G. Fergus</au><au>Winkelmann, R.K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unilesional mycosis fungoides: A distinct entity</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>1989</date><risdate>1989</risdate><volume>20</volume><issue>1</issue><spage>63</spage><epage>70</epage><pages>63-70</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><coden>JAADDB</coden><abstract>Four cases of solitary lesions showing the histologic features of mycosis fungoides are described. Three patients had an erythematous scaling plaque, whereas the fourth had a solitary nodule. The lesion was located on the arm in two patients, on the foot in one patient, and on the back in one patient. No preceding factors were noted, and no lymphadenopathy or other significant illness was found on examination. Histologic examination demonstrated features of a cutaneous T cell lymphoma with epidermotro-pism. Monoclonal markers on frozen and paraffin sections revealed a predominant T cell infiltrate. Three patients were treated with local excision. The remaining patient was treated with radiotherapy. The lesions have not recurred, and no new lesions have developed after individual follow-up of 7 months, 7 1/2 months, 13 years, and 18 years. These cases appear to be unique reports of solitary mycosis fungoides behaving in a biologically benign manner. The relationship to Woringer-Kolopp disease and lymphoma-toid papulosis is discussed.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>2783594</pmid><doi>10.1016/S0190-9622(89)70008-6</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0190-9622 |
| ispartof | Journal of the American Academy of Dermatology, 1989, Vol.20 (1), p.63-70 |
| issn | 0190-9622 1097-6787 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged B-Lymphocytes - pathology Biological and medical sciences Cell Nucleus - ultrastructure Epidermis - pathology Epidermis - ultrastructure Female Hematologic and hematopoietic diseases Humans Immunohistochemistry Keratosis - pathology Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis Male Medical sciences Middle Aged Mycosis Fungoides - pathology Mycosis Fungoides - ultrastructure Skin Neoplasms - pathology Skin Neoplasms - ultrastructure T-Lymphocytes - pathology |
| title | Unilesional mycosis fungoides: A distinct entity |
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