Subcutaneous panniculitis-like T-cell lymphoma: Pediatric case series demonstrating heterogeneous presentation and option for watchful waiting

Pediatr Blood Cancer. 2015 Nov;62(11):2025-8. doi: 10.1002/pbc.25626. Epub 2015 Jul 6.

Abstract

Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) and primary cutaneous gamma delta T-cell lymphoma (PCGD-TCL) were initially both classified as subcutaneous panniculitis-like T-cell lymphoma. In 2008, SPTCL with alpha-beta T-cell receptor subtype was separated from primary cutaneous gamma delta T-cell lymphomas (PCGD-TCL). We report four pediatric cases that demonstrate the heterogeneity of each disease and show that PCGD-TCL in children can have an indolent course, whereas SPTCL can behave aggressively. Three patients had spontaneous, durable remissions without treatment, whereas the one patient with disease progression was treated successfully. Watchful waiting may thus be appropriate for initial management of children.

Keywords: lymphoma; medical oncology; non-Hodgkin lymphoma; oncology; pediatric hematology/oncology; subcutaneous panniculitis-like T-Cell lymphoma.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Child, Preschool
  • Female
  • Humans
  • Lymphoma, T-Cell / genetics
  • Lymphoma, T-Cell / pathology
  • Lymphoma, T-Cell / therapy*
  • Neoplasms, Adipose Tissue / genetics
  • Neoplasms, Adipose Tissue / pathology
  • Neoplasms, Adipose Tissue / therapy*
  • Panniculitis*