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Updated: Sep 25, 2025

Culture of myeloid dendritic cells from bone marrow precursors
Published on: July 25, 2008
Blastic Indeterminate Dendritic Cell Tumor Associated With Chronic Myelomonocytic Leukemia
Austin Ellis1, Ismail Elbaz Younes, Haipeng Shao
1Department of Pathology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.
Insights
Blastic indeterminate dendritic cell tumor (BIDCT) is a rare cancer linked to chronic myelomonocytic leukemia (CMML). BIDCT associated with CMML may indicate a poorer prognosis compared to IDCT without CMML.
Area of Science:
- Oncology
- Hematology
- Dermatopathology
Background:
- Indeterminate dendritic cell tumor (IDCT) is a rare neoplasm.
- IDCT can be associated with hematologic malignancies.
- Chronic myelomonocytic leukemia (CMML) is a type of blood cancer.
Observation:
- A case of multifocal cutaneous blastic indeterminate dendritic cell tumor (BIDCT) is presented in a 75-year-old man with CMML.
- The BIDCT exhibited blastic histiocytoid morphology, with CD1a and S100 positivity, and lacked langerin expression.
- This case is part of a literature review of 11 reported cases of IDCT/BIDCT associated with CMML.
Findings:
- The study summarizes clinicopathological characteristics of IDCT/BIDCT associated with CMML.
- Clonal relationship between IDCT and CMML cells was observed in 4 tested cases.
- Patients with IDCT/BIDCT and CMML appear to have worse clinical outcomes than those with IDCT alone.
Implications:
- This research highlights the association between rare dendritic cell neoplasms and myeloid malignancies.
- Understanding the clinicopathological features and outcomes is crucial for patient management.
- Further research may elucidate the pathogenetic mechanisms and improve therapeutic strategies for these complex cases.
Abstract:
Indeterminate dendritic cell tumor (IDCT) is an exceedingly rare neoplasm that can be associated with hematopoietic malignancies. We report a case of multifocal cutaneous blastic indeterminate dendritic cell tumor (BIDCT) in a 75-year-old man with chronic myelomonocytic leukemia showing blastic histiocytoid morphology, positivity for CD1a and S100, and no expression of langerin. We present a literature review on the 11 reported cases of IDCTs/BIDCTs associated with chronic myelomonocytic leukemia (CMML), including this case. The clinicopathological characteristics have been summarized. The IDCT and CMML cells are clonally related in 4 tested cases. Patients with IDCT/BIDCT associated with CMML seem to have worse clinical outcomes compared with patients with IDCT not associated with CMML.
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