Primary cutaneous diffuse large B-cell lymphoma, leg type: diagnostic considerations

Arch Pathol Lab Med. 2012 Aug;136(8):876-81. doi: 10.5858/arpa.2012-0195-RA.

Abstract

Context: Primary cutaneous diffuse large B-cell lymphoma, leg type, may show features that overlap with other lymphomas. However, timely recognition of this entity can have important clinical and therapeutic implications.

Objective: To review the clinical, morphologic, and immunophenotypic characteristics of primary cutaneous diffuse large B-cell lymphoma, leg type, and juxtapose these features with other diagnostic considerations. In particular, other variants of primary cutaneous diffuse large B-cell lymphoma, as well as primary cutaneous follicle center lymphoma, will be reviewed. Additionally, systemic/extracutaneous lymphomas will be discussed, including diffuse large B-cell lymphoma, not otherwise specified, Epstein-Barr virus-positive diffuse large B-cell lymphoma of the elderly, and lymphomatoid granulomatosis.

Data sources: Relevant literature will be reviewed and key differentiating findings will be highlighted.

Conclusions: Although primary cutaneous diffuse large B-cell lymphoma, leg type, may show aspects that overlap with other lymphomas, it can be distinguished from other entities in the differential diagnosis.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Diagnosis, Differential
  • Female
  • Herpesvirus 4, Human / isolation & purification
  • Humans
  • Leg
  • Lymphoma, Follicular / diagnosis
  • Lymphoma, Follicular / immunology
  • Lymphoma, Follicular / pathology
  • Lymphoma, Follicular / virology
  • Lymphoma, Large B-Cell, Diffuse / diagnosis*
  • Lymphoma, Large B-Cell, Diffuse / immunology
  • Lymphoma, Large B-Cell, Diffuse / pathology
  • Lymphoma, Large B-Cell, Diffuse / virology
  • Lymphomatoid Granulomatosis / diagnosis
  • Lymphomatoid Granulomatosis / immunology
  • Lymphomatoid Granulomatosis / pathology
  • Lymphomatoid Granulomatosis / virology
  • Male
  • Middle Aged
  • Skin / immunology
  • Skin / pathology*
  • Skin / virology
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / immunology
  • Skin Neoplasms / pathology
  • Skin Neoplasms / virology