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Primary cutaneous B-cell lymphoma.

Melissa A Bogle1, Christy C Riddle, Emily M Triana

  • 1Department of Dermatology, University of Texas and M. D. Anderson Cancer Center, Houston, Texas 77030, USA. mabogle@hotmail.com

Journal of the American Academy of Dermatology
|August 23, 2005
PubMed
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This study reviewed primary cutaneous B-cell lymphomas, finding they often present on the head and neck. Treating associated infections, like Borrelia burgdorferi, may aid remission.

Area of Science:

  • Dermatology
  • Oncology
  • Infectious Diseases

Background:

  • Primary cutaneous B-cell lymphomas (PCBCLs) are a group of non-Hodgkin lymphomas.
  • These lymphomas can manifest in various forms, including extranodal marginal zone B-cell lymphoma, follicular lymphoma, and large B-cell lymphoma.

Purpose of the Study:

  • To characterize the clinical and behavioral aspects of PCBCLs.
  • To investigate the association between PCBCLs and infectious triggers.
  • To evaluate therapeutic responses in patients with PCBCLs.

Main Methods:

  • Retrospective chart review of 23 adult patients diagnosed with PCBCL.
  • Data collected from dermatology clinic at M. D. Anderson Cancer Center between January 1999 and May 2003.
  • Analysis of clinical presentation, serologic evidence of infections, and treatment outcomes.

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Main Results:

  • PCBCLs commonly present on the head and neck, with less frequent involvement of the trunk and extremities.
  • Serologic evidence of prior infections was noted in a significant portion of patients: Borrelia burgdorferi (n=10), Helicobacter pylori (n=5), and Epstein-Barr virus (n=6).
  • Multimodal treatment approaches are generally recommended for PCBCLs.

Conclusions:

  • Treatment for PCBCLs often requires a combination of therapies.
  • Targeting concurrent or suspected infections, particularly Borrelia burgdorferi, can be a beneficial adjunct.
  • Infection-directed therapy may lead to complete remission in a subset of patients.