中华皮肤科杂志 ›› 2015, Vol. 48 ›› Issue (1): 50-52.

• 研究报道 • 上一篇    下一篇

累及皮肤的套细胞淋巴瘤一例

权哲1,李莹2,化范例2,梅莉红2,王红枫3,曾义斌2,干慧慧2,方芳3   

  1. 1. 上海交通大学医学院附属同仁医院
    2. 复旦大学附属金山医院
    3. 上海复旦大学附属金山医院皮肤科
  • 收稿日期:2014-02-27 修回日期:2014-05-12 发布日期:2019-06-12
  • 通讯作者: 方芳 E-mail:fang_fang@medmail.com

Mantle cell lymphoma with skin involvement: a case report

  • Received:2014-02-27 Revised:2014-05-12 Published:2019-06-12

摘要: 患者女,51岁,确诊套细胞淋巴瘤20个月,四肢红色结节10 d。体检:左颈部及颌下区淋巴结肿大。双侧扁桃体Ⅱ度肿大。左上肢皮损组织病理示真皮及皮下组织见弥漫小淋巴细胞浸润,免疫组化示CD5、bcl-2、CD43、CD20、CyclinD1、λ均阳性,Ki-67阳性率 > 70%,CD3、C10、bcl-6、CD23、CD21、κ均阴性。荧光原位杂交检测示t(11:14)CCND1/IGH融合基因阴性。诊断:累及皮肤的套细胞淋巴瘤。治疗:给予环磷酰胺 + 多柔比星 + 长春新碱 + 泼尼松方案治疗,病情控制,随访中。

关键词: 淋巴瘤,套细胞, 皮肤疾病, 少见病

Abstract: Quan Zhe*, Li Ying, Hua Fanli, Mei Lihong, Wang Hongfeng, Zeng Yibin, Gan Huihui, Fang Fang. *Department of Dermatology, Jinshan Hospital, Fudan University, Shanghai 201508, China Corresponding authors: Fang Fang, Email: fht291@sina.com; Li Ying, Email: yoyo5519@126.com 【Abstract】 A 51-year-old female patient, who had been diagnosed with mantle cell lymphoma for 20 months, was admitted to the hospital for erythematous nodules on extremities for 10 days. Physical examination showed left cervical and submaxillary lymphadenectasis as well as bilateral enlarged palatine tonsils (gradeⅡ). Histopatholo-gical examination of skin lesions on the left upper limb revealed diffuse infiltration of small lymphocytes in dermis and subcutaneous tissue. Immunohistochemical examination showed positive staining for CD5, Bcl-2, CD43, CD20, CyclinD1, λ chain and Ki-67 (> 70 %), but negative staining for CD3, C10, Bcl-6, CD23, CD21 and κ chain. Fluorescence in situ hybridization (FISH) showed the absence of the t(11:14)/CCND1-IGH fusion gene. The patient was diagnosed as mantle cell lymphoma with skin involvement. After treatment with cyclophosphamide, doxorubicin, vincristine and prednisone, the condition was controlled and follow up was underway.

Key words: Lymphoma, mantle-cell, Skin diseases, Rare diseases

引用本文

权哲 李莹 化范例 梅莉红 王红枫 曾义斌 干慧慧 方芳. 累及皮肤的套细胞淋巴瘤一例[J]. 中华皮肤科杂志, 2015,48(1):50-52. doi: