Aspects moléculaires des lymphomes T périphériques (1)

Couronné, Lucile; Bastard, Christian; Gaulard, Philippe; Hermine, Olivier; Bernard, Olivier A.

doi:10.1051/medsci/20153110010

Cited by 3 publications

(1 citation statement)

References 97 publications

(151 reference statements)

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“…With the aim to gain further insight into the pathogenesis and the biological behavior of rare cutaneous lymphomas, such as CD8+ cytotoxic lymphomas, much can be learned and transferred from recent work on molecular profiling of systemic PTCL-NOS, including gene expression and deep sequencing analysis [ 19 , 21 , 22 ]. Gene expression profiling has once again confirmed that within the generic term of systemic PTCL-NOS, there is extensive molecular heterogeneity as already evidenced by divergent clinical, histological and immunophenotypical data [ 18 , 23 , 24 ]. Moreover, taking the limited therapeutic opportunities and the often dismal prognosis of PTCL-NOS into consideration, the progress in deciphering the mutational landscape and the subtype-specific gene expression profiles has revealed several novel therapeutic options [ 25 ].…”

Section: Discussionmentioning

confidence: 76%

Cutaneous CD8+ Cytotoxic T-Cell Lymphoma Infiltrates: Clinicopathological Correlation and Outcome of 35 Cases

et al. 2016

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IntroductionCytotoxic CD8+ T-cell lymphomas are only rarely encountered and thus remain only poorly characterized. Our aim was to collect and correlate clinical and histological data of CD8+ skin lymphoma infiltrates to obtain a proper subtype assignment of CD8+ skin lymphoma infiltrates and to derive putative prognostic markers thereof.MethodsFormalin-fixed and paraffin-embedded (FFPE) tissue of 35 patients with CD8+ cytotoxic cutaneous T-cell lymphoma infiltrates was retrieved from the archives of the Institute of Pathology and the Department of Dermatology, University Hospital Wuerzburg, dating back from 1998 until 2015. Cytological, histological, immunohistochemical and molecular genetic features were assessed and correlated with respective clinical data.ResultsThe identified cases of CD8+ cytotoxic atypical lymphoproliferative infiltrates of the skin (n = 35) comprised 13 cases of mycosis fungoides (MF)/Sézary syndrome (SS), 4 cases of subcutaneous panniculitis-like T-cell lymphoma (SPTCL), 5 cases of primary cutaneous acral CD8+ lymphoma [formerly indolent CD8+ lymphoid proliferation (ILP)] and 1 case of aggressive epidermotropic primary cutaneous T-cell lymphoma (AECTCL). Moreover, nine cases were classified as primary cutaneous peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS) and three cases as systemic PTCL-NOS. Multiple skin lesions, a high proliferative index and especially a final subtype attribution to AECTCL or systemic PTCL-NOS were associated with a worse survival. Coexpression of CD68 by tumor cells was exclusively observed in indolent acral CD8+ T-cell lymphoma and thus indicated an invariably benign clinical course. No further distinctive markers could be derived from our analysis.ConclusionCutaneous infiltrates of CD8+ cytotoxic T-cell lymphoma comprise clinically and histologically heterogeneous entities of either primary cutaneous T-cell lymphomas or secondary infiltrates of otherwise systemic peripheral T-cell lymphomas. A thorough clinicopathological correlation with respective staging examinations remains the mainstay for correct subtype assignment and proper prognostication as long as no better markers have been defined.

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