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Title: Anaplastic Large Cell Lymphoma of Scrotal skin
Authors: Itrat Mehdi , Indira Praseeda , Bassim Jaffer Al-Bahrani , Namrata Satayapal , Assam Abdel Monem , Suad Al Kharusi
Journal: Journal of Pakistan Medical Association
Publisher: Pakistan Medical Association.
Country: Pakistan
Year: 2011
Volume: 61
Issue: 11
Language: English
Abstract
Cutaneous T cell lymphoma (CTCL) is an uncommon diverse group of lympho-proliferative disorders involving the skin. They vary considerably in clinical presentation, microscopic features and immunophenotyping. The diagnosis is challenging, zealous, and often not easy. CD30+ve anaplastic large cell lymphoma is extremely rare. Its clinical spectrum varies from a solitary unifocal skin lesion of excellent prognosis to a multi focal systemic disease having a poor out come. The diagnosis is quite cumbersome, and often difficult. The differential diagnosis include from benign skin lesions to secondary cutaneous involvement by lymphoma. A correct diagnosis is integral with a complete metastatic/staging work up to avoid over treatment. The treatment options depend on extent of disease involvement and include surgical excision, surveillance, local radiotherapy, and systemic chemotherapy. The prognosis is good with unifocal local disease. We present here a very rare case of CD30+ ALCL of scrotal skin, in a middle aged male patient.
Keyword: Scrotal skin, CD30+ NHL, Unusual site NHL, Cutaneous T cell lymphoma, CD30+ ALCL, NHL, Anaplastic large cell lymphoma, Royal hospital Oman.
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