CD4-/CD56+/CD123+ Hematodermic Neoplasm Showing Early Liver Metastasis.

Abstract:

:Hematodermic neoplasm (HN) is a clinically aggressive neoplasm with a high incidence of cutaneous involvement and a risk of leukemic dissemination. In the recent WHO-EORTC classification, the term blastic natural killer cell lymphoma has been replaced with CD4+/CD56+ HN because of its derivation from a plasmacytoid dendritic cell precursor. Cases of HN that completely lack CD4 or CD56 expression, therefore represents a diagnostic problem. A 68-year-old Korean male was diagnosed with CD4-/CD56+ HN and treated with hyper-CVAD (cyclophosphamide, vincristine, doxorubicin, dexamethasone) at initial treatment, and then switched to high dose methotrexate/cytarabine. His disease relapsed and resulted in death from bone and brain disease 6 months after complete clinical remission, despite diagnostic workups, including a radioisotope liver scan and ultrasound-guided fine needle aspiration biopsy. Further cytogenetic studies such as comparative genomic hybridization could elucidate the genetic mechanisms in the development and progression of lymphomas. We report an unusual case of 'CD4-/CD56+/CD123+ HN' showing early liver metastasis.

journal_name

Ann Dermatol

journal_title

Annals of dermatology

authors

Choi KW,Lee KY,Lee YK,Ku BS,Kim HS,Kim YH,Kim KH

doi

10.5021/ad.2010.22.2.186

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

186-90

issue

2

eissn

1013-9087

issn

2005-3894

journal_volume

22

pub_type

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    pub_type: 杂志文章

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