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Related Experiment Video

Updated: Apr 29, 2026

A Model for Perineural Invasion in Head and Neck Squamous Cell Carcinoma
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Cutaneous plasmacytosis with perineural involvement.

Elizabeth A Brezinski1, Maxwell A Fung1, Nasim Fazel1

  • 1Department of Dermatology, Davis Health System, University of California, 3301 C Street, Suite 1400, Sacramento, CA 95816, USA.

Case Reports in Dermatological Medicine
|May 20, 2014
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Summary

Cutaneous plasmacytosis, a rare skin condition, presents with red-brown lesions and plasma cell infiltrates. Bortezomib therapy effectively managed a patient's chronic skin eruption, offering a novel treatment approach.

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Area of Science:

  • Dermatology
  • Oncology
  • Pathology

Background:

  • Cutaneous and systemic plasmacytosis are rare disorders of unknown cause.
  • They are characterized by red-brown skin lesions and plasma cell infiltration in the dermis.
  • Perineural plasma cell infiltrates may indicate cutaneous plasmacytosis.

Purpose of the Study:

  • To diagnose and treat a patient with cutaneous plasmacytosis.
  • To evaluate the efficacy of bortezomib for managing cutaneous plasmacytosis-related skin lesions.

Main Methods:

  • Histologic examination of skin biopsy.
  • Analysis of plasma cell infiltrate and light chain expression (lambda).
  • Treatment with bortezomib chemotherapy.

Main Results:

  • The patient presented with a five-year history of persistent reddish-brown plaques on the neck and trunk.
  • Histopathology revealed dermal perivascular and perineural plasma cells with excess lambda light chain expression.
  • Bortezomib therapy led to the management of the patient's skin eruption.

Conclusions:

  • The patient was diagnosed with cutaneous plasmacytosis based on histopathology, including perineural involvement.
  • Bortezomib therapy was initiated for symptom management.
  • This represents a previously undescribed treatment for this chronic condition.