Subcutaneous panniculitis-like T-cell lymphoma in a 26-month-old child with a review of the literature

Pediatr Dermatol. 2006 Nov-Dec;23(6):537-40. doi: 10.1111/j.1525-1470.2006.00305.x.

Abstract

Subcutaneous panniculitis-like T-cell lymphoma is a rare cytotoxic T-cell lymphoma of the skin that preferentially infiltrates the subcutaneous tissue. We report here this lymphoma occurring in a 26-month-old Korean girl. She presented with multiple erythematous subcutaneous nodules on both extremities and her back along with systemic symptoms. She had a protracted course of multiple erythematous subcutaneous nodules for 1 month and a spiking fever was often noted. The histopathologic findings for the subcutaneous nodules were lobular panniculitis-like material that was composed of atypical lymphocytes and histiocytes. The atypical lymphocytes characteristically rimmed individual fat cells in a lace-like pattern and some of the histiocytes showed phagocytosed white blood cells occasionally. Immunophenotypic studies showed CD3(+), CD45RO(+), CD20(-), CD4(-), CD8(+), and CD56(-). She is currently being treated with combination chemotherapy of cyclophosphamide, doxorubicin, vincristine, and prednisolone.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Child, Preschool
  • Female
  • Humans
  • Lymphoma, T-Cell / complications
  • Lymphoma, T-Cell / diagnosis*
  • Lymphoma, T-Cell / pathology
  • Panniculitis / complications
  • Panniculitis / diagnosis*
  • Panniculitis / pathology
  • Subcutaneous Tissue / pathology*