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Primary cutaneous follicle center lymphoma (PCFCL) is characterized by a proliferation of follicle center cells (centrocytes and centroblasts) with a follicular, follicular and diffuse, or diffuse growth pattern.<ref name=hindawi> Transformation of a Cutaneous Follicle Center Lymphoma to a Diffuse Large B-Cell Lymphoma—An Unusual Presentation. Hindawi. http://www.hindawi.com/journals/crim/2010/296523/.  Accessed on March 02, 2016</ref> Primary cutaneous follicle center lymphoma (PCFCL) may be associated with  [[borrelia burgdorferi]], [[hepatitis C]], and [[human herpesvirus 8]]. On gross pathology,solitary or grouped erythematous [[papules]], [[plaques]] and [[tumor]] lesions, mostly non-ulcerated are characteristic findings of primary cutaneous follicle center lymphoma. On microscopic histopathological analysis, centroblasts (large noncleaved cells), centrocytes (small and large cleaved cells), and reactive T cells are characteristic findings of primary cutaneous follicle center lymphoma.<ref name="pmid23786884">{{cite journal| author=Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I et al.| title=Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature. | journal=Radiat Oncol | year= 2013 | volume= 8 | issue=  | pages= 147 | pmid=23786884 | doi=10.1186/1748-717X-8-147 | pmc=PMC3702489 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23786884  }} </ref>
Primary cutaneous follicle center lymphoma (PCFCL) is characterized by a proliferation of follicle center cells (centrocytes and centroblasts) with a follicular, follicular and diffuse, or diffuse growth pattern.<ref name=hindawi> Transformation of a Cutaneous Follicle Center Lymphoma to a Diffuse Large B-Cell Lymphoma—An Unusual Presentation. Hindawi. http://www.hindawi.com/journals/crim/2010/296523/.  Accessed on March 02, 2016</ref> Primary cutaneous follicle center lymphoma (PCFCL) may be associated with  [[borrelia burgdorferi]], [[hepatitis C]], and [[human herpesvirus 8]]. On gross pathology,solitary or grouped erythematous [[papules]], [[plaques]] and [[tumor]] lesions, mostly non-ulcerated are characteristic findings of primary cutaneous follicle center lymphoma. On microscopic histopathological analysis, centroblasts (large noncleaved cells), centrocytes (small and large cleaved cells), and reactive T cells are characteristic findings of primary cutaneous follicle center lymphoma.<ref name="pmid23786884">{{cite journal| author=Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I et al.| title=Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature. | journal=Radiat Oncol | year= 2013 | volume= 8 | issue=  | pages= 147 | pmid=23786884 | doi=10.1186/1748-717X-8-147 | pmc=PMC3702489 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23786884  }} </ref>
==Pathophysiology==
==Pathophysiology==
==Genetics==
===Genetics===
Genes involved in the pathogenesis of primary cutaneous follicle centre lymphoma include:<ref name=cancer.gov> Primary cutaneous follicle centre lymphoma. Surveillance, Epidemiology, and End Results Program. http://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd549b/. Accessed on March 02, 2016</ref>
Genes involved in the pathogenesis of primary cutaneous follicle centre lymphoma include:<ref name=cancer.gov> Primary cutaneous follicle centre lymphoma. Surveillance, Epidemiology, and End Results Program. http://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd549b/. Accessed on March 02, 2016</ref>
* Amplification of ''C-REL'' gene
* Amplification of ''C-REL'' gene
* ''BCL-2'' rearrangements
* ''BCL-2'' rearrangements


==Association==
===Association===
Primary cutaneous follicle center lymphoma (PCFCL) may be associated with:<ref name="pmid23786884">{{cite journal| author=Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I et al.| title=Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature. | journal=Radiat Oncol | year= 2013 | volume= 8 | issue=  | pages= 147 | pmid=23786884 | doi=10.1186/1748-717X-8-147 | pmc=PMC3702489 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23786884  }} </ref>
Primary cutaneous follicle center lymphoma (PCFCL) may be associated with:<ref name="pmid23786884">{{cite journal| author=Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I et al.| title=Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature. | journal=Radiat Oncol | year= 2013 | volume= 8 | issue=  | pages= 147 | pmid=23786884 | doi=10.1186/1748-717X-8-147 | pmc=PMC3702489 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23786884  }} </ref>
* [[Borrelia burgdorferi]]
* [[Borrelia burgdorferi]]
Line 16: Line 16:
* [[Human herpesvirus 8]]   
* [[Human herpesvirus 8]]   


==Gross Pathology==
===Gross Pathology===
On gross pathology,solitary or grouped erythematous [[papules]], [[plaques]] and [[tumor]] lesions, mostly non-ulcerated are characteristic findings of primary cutaneous follicle center lymphoma.<ref name="pmid23786884">{{cite journal| author=Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I et al.| title=Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature. | journal=Radiat Oncol | year= 2013 | volume= 8 | issue=  | pages= 147 | pmid=23786884 | doi=10.1186/1748-717X-8-147 | pmc=PMC3702489 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23786884  }} </ref>
On gross pathology,solitary or grouped erythematous [[papules]], [[plaques]] and [[tumor]] lesions, mostly non-ulcerated are characteristic findings of primary cutaneous follicle center lymphoma.<ref name="pmid23786884">{{cite journal| author=Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I et al.| title=Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature. | journal=Radiat Oncol | year= 2013 | volume= 8 | issue=  | pages= 147 | pmid=23786884 | doi=10.1186/1748-717X-8-147 | pmc=PMC3702489 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23786884  }} </ref>
{|style="margin: 0 auto;"
{|style="margin: 0 auto;"
| [[File:Primary cutaneous follicle centre lymphoma images.jpg|250px|thumb|upright|Multinodular mass on the scalp (A) and spectacular response after the second chemotherapy course (B).<ref name=biomedcentral> Primary cutaneous follicle centre lymphoma. BioMed Central. https://biomarkerres.biomedcentral.com/articles/10.1186/2050-7771-2-7.  Accessed on March 01, 2016</ref>]]
| [[File:Primary cutaneous follicle centre lymphoma images.jpg|250px|thumb|upright|Multinodular mass on the scalp (A) and spectacular response after the second chemotherapy course (B).<ref name=biomedcentral> Primary cutaneous follicle centre lymphoma. BioMed Central. https://biomarkerres.biomedcentral.com/articles/10.1186/2050-7771-2-7.  Accessed on March 01, 2016</ref>]]
|}
|}
==Microscopic Pathology==
===Microscopic Pathology===
On microscopic histopathological analysis, centroblasts (large noncleaved cells), centrocytes (small and large cleaved cells), and reactive T cells are characteristic findings of primary cutaneous follicle center lymphoma.<ref name="pmid23786884">{{cite journal| author=Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I et al.| title=Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature. | journal=Radiat Oncol | year= 2013 | volume= 8 | issue=  | pages= 147 | pmid=23786884 | doi=10.1186/1748-717X-8-147 | pmc=PMC3702489 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23786884  }} </ref>
On microscopic histopathological analysis, centroblasts (large noncleaved cells), centrocytes (small and large cleaved cells), and reactive T cells are characteristic findings of primary cutaneous follicle center lymphoma.<ref name="pmid23786884">{{cite journal| author=Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I et al.| title=Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature. | journal=Radiat Oncol | year= 2013 | volume= 8 | issue=  | pages= 147 | pmid=23786884 | doi=10.1186/1748-717X-8-147 | pmc=PMC3702489 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23786884  }} </ref>


Revision as of 16:17, 2 March 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2]

Overview

Primary cutaneous follicle center lymphoma (PCFCL) is characterized by a proliferation of follicle center cells (centrocytes and centroblasts) with a follicular, follicular and diffuse, or diffuse growth pattern.[1] Primary cutaneous follicle center lymphoma (PCFCL) may be associated with borrelia burgdorferi, hepatitis C, and human herpesvirus 8. On gross pathology,solitary or grouped erythematous papules, plaques and tumor lesions, mostly non-ulcerated are characteristic findings of primary cutaneous follicle center lymphoma. On microscopic histopathological analysis, centroblasts (large noncleaved cells), centrocytes (small and large cleaved cells), and reactive T cells are characteristic findings of primary cutaneous follicle center lymphoma.[2]

Pathophysiology

Genetics

Genes involved in the pathogenesis of primary cutaneous follicle centre lymphoma include:[3]

  • Amplification of C-REL gene
  • BCL-2 rearrangements

Association

Primary cutaneous follicle center lymphoma (PCFCL) may be associated with:[2]

Gross Pathology

On gross pathology,solitary or grouped erythematous papules, plaques and tumor lesions, mostly non-ulcerated are characteristic findings of primary cutaneous follicle center lymphoma.[2]

Multinodular mass on the scalp (A) and spectacular response after the second chemotherapy course (B).[4]

Microscopic Pathology

On microscopic histopathological analysis, centroblasts (large noncleaved cells), centrocytes (small and large cleaved cells), and reactive T cells are characteristic findings of primary cutaneous follicle center lymphoma.[2]

Histopatological fingings. Biopsy of the mass of the scalp showing a dense and diffuse dermal infiltrate with nodular growth pattern (A) consisted of large atypical lymphocytes (H&E) (B), which are positive for CD20 (C) and Bcl6 (D) and negative for Bcl2 (E) on immunohistochemical staining. Bone marrow biopsy showing a hypercellular bone marrow with proliferation of megakaryocytes with hyperlobulated nuclei, sometimes in loose clusters (H&E) (F), positive for CD61 on immunohistochemical staining (G).[4]



References

  1. ↑ Transformation of a Cutaneous Follicle Center Lymphoma to a Diffuse Large B-Cell Lymphoma—An Unusual Presentation. Hindawi. http://www.hindawi.com/journals/crim/2010/296523/. Accessed on March 02, 2016
  2. ↑ 2.0 2.1 2.2 2.3 Ceovic R, Jovanovic I, Kostovic K, Rados J, Dotlic S, Radman I; et al. (2013). "Radiotherapy of primary cutaneous follicle center lymphoma: case report and review of literature". Radiat Oncol. 8: 147. doi:10.1186/1748-717X-8-147. PMC 3702489. PMID 23786884.
  3. ↑ Primary cutaneous follicle centre lymphoma. Surveillance, Epidemiology, and End Results Program. http://seer.cancer.gov/seertools/hemelymph/51f6cf5ae3e27c3994bd549b/. Accessed on March 02, 2016
  4. ↑ 4.0 4.1 Primary cutaneous follicle centre lymphoma. BioMed Central. https://biomarkerres.biomedcentral.com/articles/10.1186/2050-7771-2-7. Accessed on March 01, 2016


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