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Role of imaging in low-grade cutaneous B-cell lymphoma presenting in the skin.

Abstract：

BACKGROUND:Whole-body imaging is the current standard of care for staging all patients presenting with skin lesions of B-cell lymphomas (BCLs), regardless of skin disease extent; however, supporting data are lacking. OBJECTIVE:To determine the clinical utility of imaging in the detection of systemic involvement in low-grade cutaneous BCLs in the skin. METHODS:Retrospective cohort analysis of patients presenting with cutaneous lesions of BCLs at Memorial Sloan Kettering Cancer Center and Stanford University during 1997-2016. RESULTS:At initial staging, of the 522 patients, extracutaneous disease was noted in 3.6% and 8.8% of patients with marginal zone lymphoma (MZL, n = 306) and follicle center lymphoma (FCL, n = 216) histology, respectively. In patients with systemic involvement, imaging alone identified 81.8% (9/11) of MZL cases and 89.4% of follicular lymphoma cases. In primary cutaneous MZL, 1.7% of patients subsequently had extracutaneous involvement (median follow-up 45 months), and in primary cutaneous FCL. 3.0% subsequently had extracutaneous involvement (median follow-up 47 months). LIMITATIONS:This was a retrospective study. CONCLUSION:Imaging is effective at identifying patients with systemic involvement in indolent BCLs present in the skin; however, incidence is low. After negative initial staging, primary cutaneous MZL patients may be followed clinically without routine imaging.

journal_name

J Am Acad Dermatol

journal_title

Journal of the American Academy of Dermatology

authors

Kheterpal MK,Dai J,Geller S,Pulitzer M,Ni A,Myskowski PL,Moskowitz A,Kim J,Hong EK,Fong S,Hoppe RT,Kim YH,Horwitz SM

doi

10.1016/j.jaad.2019.01.037

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

970-976

issue

4

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(19)30144-6

journal_volume

81

pub_type

杂志文章

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