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[Primary cutaneous monomelic B-cell lymphoma]

C Marquart-Elbaz1, D Lipsker, B Cribier

  • 1Clinique Dermatologique, des Hôpitaux Universitaires de Strasbourg.

Annales De Dermatologie Et De Venereologie
|January 1, 1997
PubMed
Summary
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A rare cutaneous B cell lymphoma case in an 87-year-old woman with lymphedema suggests chronic inflammation may trigger lymphoma development. Treatment involved radiotherapy and chemotherapy for this large cell lymphoma of follicular stem cells.

Area of Science:

  • Dermatology
  • Oncology
  • Immunology

Background:

  • Cutaneous B cell lymphomas are rare, particularly as monomorphic papulonodular eruptions.
  • Lymphedema is a chronic condition affecting lymphatic fluid drainage.

Observation:

  • An 87-year-old female presented with a 5-month history of a papulonodular eruption on her left lower limb.
  • The affected limb had a history of lymphedema for 8 years following trauma.
  • Histopathology confirmed a large cell lymphoma of follicular stem cells without extracutaneous spread.

Findings:

  • The patient was successfully treated with radiotherapy for the initial presentation.
  • A relapse occurred on the trunk and upper limbs two months post-radiotherapy, treated with cyclophosphamide-vincristine-prednisone chemotherapy.

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  • The lymphoma was identified as a large cell lymphoma of follicular stem cells.

    • Implications:

    • Lymphedema may contribute to lymphoma development by impairing local immune response and promoting chronic antigenic stimulation.
    • This case suggests a potential link between chronic lymphedema and the pathogenesis of cutaneous lymphomas.
    • The findings may inform understanding of lymphoma development in contexts of chronic inflammation and immune dysregulation.