基础医学与临床 ›› 2009, Vol. 29 ›› Issue (5): 542-546.

• 临床园地 • 上一篇    下一篇

皮下脂膜炎样T细胞淋巴瘤6例临床病理分析

杨拥军 师杰 崔全才   

  1. 辽宁省东港市中心医院 中国医学科学院 北京协和医学院 北京协和医院 病理科 中国医学科学院 北京协和医学院 北京协和医院 病理科
  • 收稿日期:2008-03-24 修回日期:2008-07-22 出版日期:2009-05-25 发布日期:2009-05-25
  • 通讯作者: 崔全才

Subcutaneous Panniculitis-like T-Cell Lymphoma: A Report of 6 Cases and Review of the Literatures

Yong-jun YANG, Jie SHI, Quan-cai CUI   

  1. Donggang Center Hospital Department of Pathology, PUMC Hospital, CAMS & PUMC Department of Pathology, PUMC Hospital, CAMS & PUMC
  • Received:2008-03-24 Revised:2008-07-22 Online:2009-05-25 Published:2009-05-25
  • Contact: Quan-cai CUI

摘要: 目的 观察皮下脂膜炎样T细胞淋巴瘤的临床、病理及免疫表型特点,总结其鉴别诊断要点。方法 对6例SPTCL进行临床、病理及免疫表型观察及分析,并复习相关文献。 结果 病人均表现为不同部位皮下结节和/或硬结性红斑,未见明显淋巴结肿大。其中1例出现皮肤溃疡,5例伴有发热,所有病人均有典型的病理学改变,2例伴有较明显的噬血细胞综合症,瘤细胞均表达T细胞标记。2例于诊断后9~16个月死亡,4例经化疗后缓解,其中2例又有新发结节。结论 SPTCL为一种少见的原发于皮下的外周T细胞淋巴瘤,具有相对特征性的临床及病理学表现,应与脂膜炎及其它类型的皮肤淋巴瘤相鉴别。

关键词: 皮肤淋巴瘤, T细胞, 脂膜炎

Abstract: Objective To investigate the clinical and pathological characteristics as well as immunophenotypes of subcutaneous panniculitis-like T-cell lymphoma to explore its differential diagnosise with other similar diseases. Methods The clinical、histological and immunophenotypic features of 6 cases were described in detail and related literatures were reviewed. Results All of 6 patients presented with subcutaneous nodules or /and erythematous plaques without lymph nodes swelling and with fever but one case , one developed to ulcer from its nodules. All of 6 patient presented typical histological changes and 2 of them associated with prominent hemophagocytic syndrome. The neoplastic cells were of T-cell phenotype. Two patients followed an aggressive clinical course with short survival of 9-16 months and four patients who treated with chemotherapy have an improved survival, but two of them had been recurred. Conclusions SPTCL is a rare type of T-cell lymphoma which has a clinical and pathological characteristics relatively, and it should be differentiated from benign panniculitis or other lymphomas of the skin.

Key words: Skin lymphoma, T-cell, Panniculitis