Language:
English
In:
Annals of Hematology, 2007, Vol.86(7), pp.517-517
Description:
Byline: Christian Hallermann (1,2), Matthias Kaune Kjell (1), Markus Tiemann (3), Ekkehard Kunze (4), Frank Griesinger (5), Christina Mitteldorf (1), Hans-Peter Bertsch (1), Christine Neumann (1) Keywords: Hairy cell leukemia, Cutaneous T-cell lymphoma, Sezary syndrome Abstract: In patients suffering from primary cutaneous lymphomas, secondary malignancies of various origin may develop. However, the frequency of a second neoplasm deriving from another lymphoid lineage is still unclear and may be underestimated. We screened all our patients with primary cutaneous lymphomas from a 4-year recruitment period for a coexisting secondary lymphoproliferative disorder. The cohort comprised of a total of 82 patients with primary cutaneous lymphomas, 62 with primary cutaneous T-cell lymphoma (CTCL), 18 with primary cutaneous B-cell lymphomas, and two with CD4+/CD56+ hematodermic neoplasm/blastic lymphomas. Seven patients (8.5%) were identified with a coexisting lymphoma of a different lymphoid lineage. Four patients with Sezary syndrome (SS) suffered from systemic B-cell lymphoma. Two of these developed SS after chemotherapy of their B-cell lymphoma. The other three patients with various types of skin lymphomas (SS, Mycosis fungoides [MF], primary cutaneous marginal zone lymphoma) developed Hodgkin's disease (hairy cell leukemia). Our data indicate that patients with primary cutaneous lymphomas have an elevated risk for the development of a secondary lymphoproliferative disorder even without previous chemotherapy. Possible explanations for this association include a genetic predisposition, alterations in early progenitor cells, underlying viral infections, and/or stimulation of a B-cell clone by the malignant helper T cells of the primary CTCL and vice versa. Author Affiliation: (1) Department of Dermatology, University of Goettingen, Goettingen, Germany (2) Fachklinik Hornheide, Dorbaumstrasse 300, 48157, Muenster, Germany (3) Department of Haematopathology and Lymph Node Registry, University Hospitals of Schleswig-Holstein, Campus Kiel, Kiel, Germany (4) Department of Osteopathology and Haematopathology, University of Goettingen, Goettingen, Germany (5) Department of Haematology and Oncology, University of Goettingen, Goettingen, Germany Article History: Registration Date: 21/02/2007 Received Date: 31/10/2006 Accepted Date: 15/02/2007 Online Date: 06/03/2007
Keywords:
Tumors;
ISSN:
0939-5555
E-ISSN:
1432-0584
DOI:
10.1007/s00277-007-0287-5
URL:
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