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Published on: September 12, 2025
Small cell variant of ALK-positive anaplastic large cell lymphoma with primary subcutaneous presentation: A case
Tang-Her Jaing1, Tsung-Yen Chang, Shih-Hsiang Chen
1Division of Hematology and Oncology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University Department of Nursing, Chang Gung University and Memorial Hospital Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taoyuan, Taiwan.
Rationale:
The rare morphological variant of anaplastic large cell lymphoma (ALCL) may pose a challenge in diagnosis, especially when presentation primarily involves skin lesions.
Patient Concerns:
Here we describe a rare case of small cell variant of ALCL in an 11-year-old girl.
Diagnosis:
We performed clinical, morphological, and immunohistochemical analyses of developed cutaneous nodules.
Interventions:
Pathologists should consider this small cell variant in ALCL differential diagnosis, as early and correct diagnosis has important clinical implications.
Outcomes:
Allogeneic hematopoietic stem cell transplantation appears to be a promising treatment option for small cell variant of ALCL.
Lessons:
Histological diagnosis of small cell variant of ALCL is challenging among pediatricians because of its low incidence and atypical presentation. We provide a short review of the small cell variant of ALCL to facilitate the diagnosis of this difficult-to-recognize entity.
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