Surgical Treatment of Obstructive Palpebral Tumors in d'Emblee Variant of Cutaneous T-Cell Lymphoma

Abstract

In selected cases, surgical excision of tumor tissue may be of significant assistance in managing d'emblee variant cutaneous T-cell lymphoma.

The spectrum of cutaneous T-cell lymphomas: new insights into biology and therapy

“…Moreover, treatment with 308-nm excimer laser might be an option in selected instances resistant to phototherapy [31,32]. A reported surgical excision of palpebral tumors in a patient with d'emblee type of CTCL provided significant cosmetic and functional improvement and may represent an effective adjunct therapy in selected cases with localized tumors [33]. Total skin electron-beam treatment in early stages remains controversial, because of its potential toxicity, but it is highly effective in early-stage mycosis fungoides without adjuvant therapy.…”

Surgical Excision of Mycosis Fungoides Using Thumb-Sparing Reconstruction

“…8 Other rare subtypes of ocular cutaneous lymphoma have been treated effectively with surgery alone. 3 We elected to use a 1-cm margin for surgical resection to maximally reduce locoregional recurrence in the setting of our complex thumb reconstruction. Additional long-term studies and standardized approaches with welldefined surgical margins would be beneficial in further delineating the success of surgical management as defined by functional recovery and rates of local recurrence.…”