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Skin Cancer01:30

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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
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Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
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Neonatal leukaemia cutis.

M Z Handler1, R A Schwartz1

  • 1Dermatology, Pediatrics, Preventive Medicine, Community Health, and School of Public Affairs and Administration, Rutgers University New Jersey Medical School, Newark, NJ, USA.

Journal of the European Academy of Dermatology and Venereology : JEADV
|April 9, 2015
PubMed
Summary
This summary is machine-generated.

Neonatal leukaemia cutis, a rare skin condition in newborns, presents as magenta nodules. Some cases, without specific genetic markers, may resolve spontaneously without chemotherapy, warranting careful monitoring.

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Area of Science:

  • Neonatal dermatology
  • Pediatric oncology
  • Cutaneous manifestations of malignancy

Background:

  • Neonatal leukaemia cutis is a rare skin condition in newborns, often a sign of systemic leukaemia, typically myeloblastic.
  • It can rarely be limited to the skin, termed neonatal aleukaemic leukaemia cutis.
  • Presents within the first 4 weeks of life with characteristic 'blueberry muffin' magenta nodules.

Purpose of the Study:

  • To describe the clinical presentation and management considerations for neonatal leukaemia cutis.
  • To evaluate the potential for spontaneous remission in cases without 11q23 translocation.
  • To inform treatment decisions balancing chemotherapy risks with observed remission rates.

Main Methods:

  • Clinical case observation and review.
  • Differential diagnosis including neonatal infections (rubella, toxoplasmosis) and other neoplasms (neuroblastoma).
  • Genetic analysis (11q23 translocation) to guide treatment strategy.

Main Results:

  • Neonatal leukaemia cutis presents as 'blueberry muffin' lesions, typically sparing mucous membranes, palms, and soles.
  • Spontaneous remission without systemic progression is reported in cases lacking the 11q23 translocation.
  • Chemotherapy carries significant morbidity, prompting consideration for conservative management.

Conclusions:

  • Neonatal aleukaemic leukaemia cutis without 11q23 translocation may not require chemotherapy.
  • Monitoring for spontaneous resolution of skin lesions and systemic leukaemia signs is a viable approach.
  • This conservative strategy aims to minimize treatment-related morbidity in select cases.