Cutaneous mantle cell lymphoma histomorphologically mimicking subcutaneous panniculitis-like T-cell lymphoma: Case report. 2019

Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
Department of Dermatology, University of Utah, Salt Lake City, Utah.

Secondary cutaneous involvement by mantle cell lymphoma (MCL), an uncommon aggressive B-cell malignancy, predominantly involves the dermis, with few reports of pannicular involvement. Lymphocytic infiltration of subcutaneous tissue is associated with inflammatory panniculitides and certain T-cell lymphomas, primarily subcutaneous panniculitis-like T-Cell lymphoma (SPTCL), which is characterized by rimming of adipocytes by tumor cells. We report the case of a 69-year-old man with a history of systemic nodal MCL who presented with subcutaneous nodules on his lower extremities after receiving multi-agent chemotherapy. Biopsies showed a dense infiltrate of atypical, mitotically active, monomorphic, medium-sized lymphoid cells in the subcutaneous fat with prominent rimming of the adipocytes by the tumor cells. These features were not morphologically typical of MCL. Immunohistochemistry showed these cells to be CD20+, CD5+ B-cells with strong cyclin D1 expression; fluorescence in situ hybridization (FISH) analysis was positive for t(11;14)(q13;32), confirming the diagnosis of secondary cutaneous involvement of MCL. This represents an exceptional report of cutaneous MCL presenting clinically and histologically with a panniculitis-type pattern and adipocyte rimming, histomorphologically mimicking SPTCL. Noteworthy examples, such as this report, support the practice of utilizing clinical correlation, immunohistochemistry, and/or molecular cytogenetics to confirm the diagnosis of any case suspicious for cutaneous lymphoma.

UI MeSH Term Description Entries
D008297 Male Males
D002880 Chromosomes, Human, Pair 11 A specific pair of GROUP C CHROMOSOMES of the human chromosome classification. Chromosome 11
D002883 Chromosomes, Human, Pair 14 A specific pair of GROUP D CHROMOSOMES of the human chromosome classification. Chromosome 14
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001402 B-Lymphocytes Lymphoid cells concerned with humoral immunity. They are short-lived cells resembling bursa-derived lymphocytes of birds in their production of immunoglobulin upon appropriate stimulation. B-Cells, Lymphocyte,B-Lymphocyte,Bursa-Dependent Lymphocytes,B Cells, Lymphocyte,B Lymphocyte,B Lymphocytes,B-Cell, Lymphocyte,Bursa Dependent Lymphocytes,Bursa-Dependent Lymphocyte,Lymphocyte B-Cell,Lymphocyte B-Cells,Lymphocyte, Bursa-Dependent,Lymphocytes, Bursa-Dependent
D012878 Skin Neoplasms Tumors or cancer of the SKIN. Cancer of Skin,Skin Cancer,Cancer of the Skin,Neoplasms, Skin,Cancer, Skin,Cancers, Skin,Neoplasm, Skin,Skin Cancers,Skin Neoplasm
D014178 Translocation, Genetic A type of chromosome aberration characterized by CHROMOSOME BREAKAGE and transfer of the broken-off portion to another location, often to a different chromosome. Chromosomal Translocation,Translocation, Chromosomal,Chromosomal Translocations,Genetic Translocation,Genetic Translocations,Translocations, Chromosomal,Translocations, Genetic
D015434 Panniculitis General term for inflammation of adipose tissue, usually of the skin, characterized by reddened subcutaneous nodules. Panniculitis, Subacute Nodular Migratory,Cold Panniculitis,Cold Panniculitides,Panniculitides,Panniculitides, Cold,Panniculitis, Cold

Related Publications

Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
January 2008, Indian journal of dermatology, venereology and leprology,
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
October 2016, Journal of cutaneous pathology,
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
December 2023, European journal of dermatology : EJD,
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
June 2016, The American journal of case reports,
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
January 2014, Internal medicine (Tokyo, Japan),
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
June 2008, Zhonghua bing li xue za zhi = Chinese journal of pathology,
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
December 2002, International journal of dermatology,
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
February 2010, Journal of the European Academy of Dermatology and Venereology : JEADV,
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
January 2017, Proceedings (Baylor University. Medical Center),
Caroline Laggis, and Rodney Miles, and Deborah M Stephens, and Keith Duffy, and Anneli Bowen, and David Wada
January 2020, Indian journal of dermatology, venereology and leprology,
Copied contents to your clipboard!