Mycosis fungoides exhibiting features of a dermatofibroma: a case report and review of the literature

We present the case of a 60‐year‐old male with known stage IA mycosis fungoides (MF) who developed a suspicious tumor within a pre‐existing lymphomatous plaque of the right forearm. Microscopy revealed an unusual mixed fibrohistiocytic proliferation as well as atypical intraepidermal and dermal lymp...

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Veröffentlicht in:Journal of cutaneous pathology 2012-01, Vol.39 (1), p.40-46
Hauptverfasser: Morcos, Sarah M., Girardi, Michael, Subtil, Antonio, Wilson, Lynn D., Cowper, Shawn E.
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container_issue 1
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container_title Journal of cutaneous pathology
container_volume 39
creator Morcos, Sarah M.
Girardi, Michael
Subtil, Antonio
Wilson, Lynn D.
Cowper, Shawn E.
description We present the case of a 60‐year‐old male with known stage IA mycosis fungoides (MF) who developed a suspicious tumor within a pre‐existing lymphomatous plaque of the right forearm. Microscopy revealed an unusual mixed fibrohistiocytic proliferation as well as atypical intraepidermal and dermal lymphocytes. There was no evidence of large‐cell transformation. Histopathological, immunohistochemical and clinical clues suggest this lesion might not have represented a dermatofibroma, but rather a hitherto unreported dermatofibroma‐like process arising within a lesion of MF. The potential impact of this atypical lesion on the prognosis and clinical management of this patient highlights the importance of recognizing unusual clinical presentations of more common, benign lesions within this patient population. Morcos SM, Girardi M, Subtil A, Wilson LD, Cowper SE. Mycosis fungoides exhibiting features of a dermatofibroma: a case report and review of the literature.
doi_str_mv 10.1111/j.1600-0560.2011.01804.x
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Myelofibrosis ; Lymphocytes - metabolism ; Lymphocytes - pathology ; Male ; Medical sciences ; Middle Aged ; mycosis fungoides ; Mycosis Fungoides - metabolism ; Mycosis Fungoides - pathology ; Neoplasm Staging ; simulant ; Skin Neoplasms - metabolism ; Skin Neoplasms - pathology</subject><ispartof>Journal of cutaneous pathology, 2012-01, Vol.39 (1), p.40-46</ispartof><rights>Copyright © 2011 John Wiley &amp; Sons A/S</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 John Wiley &amp; Sons A/S.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4364-73a9da6cef22807fee57929f013299b732a5ed3d0743c7faceaa5c70e44f2b8e3</citedby><cites>FETCH-LOGICAL-c4364-73a9da6cef22807fee57929f013299b732a5ed3d0743c7faceaa5c70e44f2b8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0560.2011.01804.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0560.2011.01804.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,4024,27923,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25298592$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22059953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morcos, Sarah M.</creatorcontrib><creatorcontrib>Girardi, Michael</creatorcontrib><creatorcontrib>Subtil, Antonio</creatorcontrib><creatorcontrib>Wilson, Lynn D.</creatorcontrib><creatorcontrib>Cowper, Shawn E.</creatorcontrib><title>Mycosis fungoides exhibiting features of a dermatofibroma: a case report and review of the literature</title><title>Journal of cutaneous pathology</title><addtitle>J Cutan Pathol</addtitle><description>We present the case of a 60‐year‐old male with known stage IA mycosis fungoides (MF) who developed a suspicious tumor within a pre‐existing lymphomatous plaque of the right forearm. Microscopy revealed an unusual mixed fibrohistiocytic proliferation as well as atypical intraepidermal and dermal lymphocytes. There was no evidence of large‐cell transformation. Histopathological, immunohistochemical and clinical clues suggest this lesion might not have represented a dermatofibroma, but rather a hitherto unreported dermatofibroma‐like process arising within a lesion of MF. The potential impact of this atypical lesion on the prognosis and clinical management of this patient highlights the importance of recognizing unusual clinical presentations of more common, benign lesions within this patient population. Morcos SM, Girardi M, Subtil A, Wilson LD, Cowper SE. 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Myelofibrosis</subject><subject>Lymphocytes - metabolism</subject><subject>Lymphocytes - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>mycosis fungoides</subject><subject>Mycosis Fungoides - metabolism</subject><subject>Mycosis Fungoides - pathology</subject><subject>Neoplasm Staging</subject><subject>simulant</subject><subject>Skin Neoplasms - metabolism</subject><subject>Skin Neoplasms - pathology</subject><issn>0303-6987</issn><issn>1600-0560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF1v0zAUhi3ExLrCX0C5QVwl-COOYyQuUFk3pHWAxAR3luMcby75KHaytf9-ztqVW3zjo-PnPcd6EEoIzkg8H9YZKTBOMS9wRjEhGSYlzrPtCzQ7PrxEM8wwSwtZilN0FsIaY1KUBX-FTinFXErOZghWO9MHFxI7dre9qyEksL1zlRtcd5tY0MPoY6-3iU5q8K0eeusq37f6Y-wYHSDxsOn9kOiujuW9g4eJHu4gadwA_mnAa3RidRPgzeGeo5vl-c_FZXr17eLr4vNVanJW5KlgWta6MGApLbGwAFxIKi0mjEpZCUY1h5rVWOTMCKsNaM2NwJDnllYlsDl6v5-78f3fEcKgWhcMNI3uoB-DkoSJ6CtqmaNyTxrfh-DBqo13rfY7RbCaHKu1mlSqSaWaHKsnx2obo28PS8aqhfoYfJYagXcHQAejG-t1Z1z4x3EqSy5p5D7tuQfXwO6_P6AWN9-nKubTfd6FAbbHvPZ_VCGY4OrX9YX6_WV1uVxer9QP9gj_XqfL</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Morcos, Sarah M.</creator><creator>Girardi, Michael</creator><creator>Subtil, Antonio</creator><creator>Wilson, Lynn D.</creator><creator>Cowper, Shawn E.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201201</creationdate><title>Mycosis fungoides exhibiting features of a dermatofibroma: a case report and review of the literature</title><author>Morcos, Sarah M. ; Girardi, Michael ; Subtil, Antonio ; Wilson, Lynn D. ; Cowper, Shawn E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4364-73a9da6cef22807fee57929f013299b732a5ed3d0743c7faceaa5c70e44f2b8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>Cell Proliferation</topic><topic>cutaneous T-cell lymphoma</topic><topic>dermatofibroma</topic><topic>Dermatology</topic><topic>Dermis - metabolism</topic><topic>Dermis - pathology</topic><topic>Diagnosis, Differential</topic><topic>fibrotic</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Histiocytoma, Benign Fibrous - metabolism</topic><topic>Histiocytoma, Benign Fibrous - pathology</topic><topic>Humans</topic><topic>Immunohistochemistry - methods</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lymphocytes - metabolism</topic><topic>Lymphocytes - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>mycosis fungoides</topic><topic>Mycosis Fungoides - metabolism</topic><topic>Mycosis Fungoides - pathology</topic><topic>Neoplasm Staging</topic><topic>simulant</topic><topic>Skin Neoplasms - metabolism</topic><topic>Skin Neoplasms - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morcos, Sarah M.</creatorcontrib><creatorcontrib>Girardi, Michael</creatorcontrib><creatorcontrib>Subtil, Antonio</creatorcontrib><creatorcontrib>Wilson, Lynn D.</creatorcontrib><creatorcontrib>Cowper, Shawn E.</creatorcontrib><collection>Istex</collection><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 cutaneous pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morcos, Sarah M.</au><au>Girardi, Michael</au><au>Subtil, Antonio</au><au>Wilson, Lynn D.</au><au>Cowper, Shawn E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mycosis fungoides exhibiting features of a dermatofibroma: a case report and review of the literature</atitle><jtitle>Journal of cutaneous pathology</jtitle><addtitle>J Cutan Pathol</addtitle><date>2012-01</date><risdate>2012</risdate><volume>39</volume><issue>1</issue><spage>40</spage><epage>46</epage><pages>40-46</pages><issn>0303-6987</issn><eissn>1600-0560</eissn><coden>JCUPBN</coden><abstract>We present the case of a 60‐year‐old male with known stage IA mycosis fungoides (MF) who developed a suspicious tumor within a pre‐existing lymphomatous plaque of the right forearm. 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subjects Biological and medical sciences
Cell Proliferation
cutaneous T-cell lymphoma
dermatofibroma
Dermatology
Dermis - metabolism
Dermis - pathology
Diagnosis, Differential
fibrotic
Hematologic and hematopoietic diseases
Histiocytoma, Benign Fibrous - metabolism
Histiocytoma, Benign Fibrous - pathology
Humans
Immunohistochemistry - methods
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphocytes - metabolism
Lymphocytes - pathology
Male
Medical sciences
Middle Aged
mycosis fungoides
Mycosis Fungoides - metabolism
Mycosis Fungoides - pathology
Neoplasm Staging
simulant
Skin Neoplasms - metabolism
Skin Neoplasms - pathology
title Mycosis fungoides exhibiting features of a dermatofibroma: a case report and review of the literature
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