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Primary Cutaneous Marginal Zone Lymphoma

  • Chapter
Atlas of Cutaneous Lymphomas

Abstract

Primary cutaneous marginal zone lymphoma (pcMZL) is an indolent B-cell lymphoma that commonly presents with red to violaceous plaques, nodules, or tumors. It has an excellent prognosis. This entity has also been known as cutaneous marginal zone lymphoma (CMZL), extranodal marginal zone lymphoma of mucosa associated lymphoid tissue (MZL or MALT lymphoma), primary cutaneous immunocytoma, primary cutaneous plasmacytoma, and lymphoma cutis [1, 2]. This chapter will discuss the clinical presentation, prognosis, treatment, histopathology, immunophenotype, and differential diagnosis of pcMZL. It closes with a clinical case, including clinical images and histopathology.

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References

  1. Geyer JT, Ferry JA, Longtine JA, Flotte TJ, Harris NL, Zukerberg LR. Characteristics of cutaneous marginal zone lymphomas with marked plasmacytic differentiation and a T cell–rich background. Am J Clin Pathol. 2010;133:59–69.

    Article  PubMed  Google Scholar 

  2. Hoefnagel J, Vermeer MH, Jansen PM, Heule F, van Voorst Vader PC, Sanders CJG, et al. Primary cutaneous marginal zone B-cell lymphoma: clinical and therapeutic features in 50 cases. Arch Dermatol. 2005;141:1139–45.

    Article  CAS  PubMed  Google Scholar 

  3. Bradford PT, Devesa SS, Anderson WF, Toro JR. Cutaneous lymphoma incidence patterns in the United States: a population-based study of 3884 cases. Blood. 2009;113:5064–73.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Isaacson P, Chott A, Nakamura S, Muller-Hermelink HK, Harris NL, Swerdlow SH. Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma). In: Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, et al., editors. WHO classification of tumors of hematopoietic and lymphoid tissues. 4th ed. Lyon: International Agency for Research on Cancer; 2008. p. 214–7.

    Google Scholar 

  5. Dalle S, Thomas L, Balme B, Dumontet C, Thieblemont C. Primary cutaneous marginal zone lymphoma. Crit Rev Oncol Hematol. 2010;74:156–62.

    Article  PubMed  Google Scholar 

  6. Cerroni L, Signoretti S, Höfler G, Annessi G, Pütz B, Lackinger E, et al. Primary cutaneous marginal zone B-cell lymphoma: a recently described entity of low-grade malignant cutaneous B-cell lymphoma. Am J Surg Pathol. 1997;21:1307–15.

    Article  CAS  PubMed  Google Scholar 

  7. Servitje O, Gallardo F, Estrach T, Pujol RM, Blanco A. Clinical and laboratory investigations. Primary cutaneous marginal zone B-cell lymphoma: a clinical, histopathological, immunophenotypic and molecular genetic study of 22 cases. Br J Dermatol. 2002;147:1147–58.

    Article  CAS  PubMed  Google Scholar 

  8. Baldassano MF, Bailey EM, Ferry JA, Harris NL, Duncan LM. Cutaneous lymphoid hyperplasia and cutaneous marginal zone lymphoma: comparison of morphologic and immunophenotypic features. Am J Surg Pathol. 1999;23:88–96.

    Article  CAS  PubMed  Google Scholar 

  9. Zinzani PL, Quaglino P, Pimpinelli N, Berti E, Baliva G, Rupoli S, et al. Prognostic factors in primary cutaneous B-cell lymphoma: the Italian Study Group for Cutaneous Lymphomas. J Clin Oncol. 2006;24:1376–82.

    Article  PubMed  Google Scholar 

  10. Kütting B, Bonsmann G, Metze D, Luger TA, Cerroni L. Borrelia burgdorferi—associated primary cutaneous B cell lymphoma: complete clearing of skin lesions after antibiotic pulse therapy or intralesional injection of interferon alfa-2a. J Am Acad Dermatol. 1997;36:311–4.

    Article  PubMed  Google Scholar 

  11. Roggero E, Zucca E, Mainetti C, Bertoni F, Valsangiacomo C, Pedrinis E, et al. Eradication of Borrelia burgdorferi infection in primary marginal zone B-cell lymphoma of the skin. Hum Pathol. 2000;31:263–8.

    Article  CAS  PubMed  Google Scholar 

  12. Gerami P, Wickless SC, Rosen S, Kuzel TM, Ciurea A, Havey J, et al. Applying the new TNM classification system for primary cutaneous lymphomas other than mycosis fungoides and Sézary syndrome in primary cutaneous marginal zone lymphoma. J Am Acad Dermatol. 2008;59:245–54.

    Article  PubMed  Google Scholar 

  13. Morales AV, Advani R, Horwitz SM, Riaz N, Reddy S, Hoppe RT, et al. Indolent primary cutaneous B-cell lymphoma: experience using systemic rituximab. J Am Acad Dermatol. 2008;59:953–7.

    Article  PubMed  Google Scholar 

  14. Bailey EM, Ferry JA, Harris NL, Mihm MC, Jacobson JO, Duncan LM. Marginal zone lymphoma (low-grade B-cell lymphoma of mucosa-associated lymphoid tissue type) of skin and subcutaneous tissue: a study of 15 patients. Am J Surg Pathol. 1996;20:1011–23.

    Article  CAS  PubMed  Google Scholar 

  15. Cho-Vega JH, Vega F, Rassidakis G, Medeiros LJ. Primary cutaneous marginal zone B-cell lymphoma. Am J Clin Pathol. 2006;125:S38–49.

    PubMed  Google Scholar 

  16. Duncan LM, Baran JL, Ferry JA. Cutaneous lymphomas. In: Ferry JA, editor. Extranodal lymphomas. Philadelphia: Elsevier Saunders; 2011.

    Google Scholar 

  17. Deutsch AJA, Fru M, Aigelsreiter A, Cerroni L, Neumeister P. Primary cutaneous marginal zone B-cell lymphomas are targeted by aberrant somatic hypermutation. J Invest Dermatol. 2009;129:476–9.

    Article  CAS  PubMed  Google Scholar 

  18. Bain BJ. Dutcher bodies. Am J Hematol. 2009;84:589.

    Article  PubMed  Google Scholar 

  19. de Leval L, Harris NL, Longtine J, Ferry JA, Duncan LM. Cutaneous B-cell lymphomas of follicular and marginal zone types: use of Bcl-6, CD10, Bcl-2, and CD21 in differential diagnosis and classification. Am J Surg Pathol. 2001;25:732–41.

    Article  PubMed  Google Scholar 

  20. Willemze R, Swerdlow SH, Harris NL, Vergier B. Primary cutaneous follicle centre lymphoma. In: Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, et al., editors. WHO classification of tumors of hematopoietic and lymphoid tissues. 4th ed. Lyon: International Agency for Research on Cancer; 2008. p. 227–8.

    Google Scholar 

  21. Cerroni L, Arzberger E, Pütz B, Höfler G, Metze D, Sander CA, et al. Primary cutaneous follicle center cell lymphoma with follicular growth pattern. Blood. 2000;95:3922–8.

    CAS  PubMed  Google Scholar 

  22. Meijer CJLM, Vergier B, Duncan LM, Willemze R. Primary cutaneous DLBCL, leg type. In: Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, et al., editors. WHO classification of tumors of hematopoietic and lymphoid tissues. 4th ed. Lyon: International Agency for Research on Cancer; 2008. p. 242.

    Google Scholar 

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Correspondence to Lyn McDivitt Duncan M.D. .

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Goyal, A., Carter, J.B., Barnes, J.A., Duncan, L.M. (2015). Primary Cutaneous Marginal Zone Lymphoma. In: Carter, J., Goyal, A., McDivitt Duncan, L. (eds) Atlas of Cutaneous Lymphomas. Springer, Cham. https://doi.org/10.1007/978-3-319-17217-0_16

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  • DOI: https://doi.org/10.1007/978-3-319-17217-0_16

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17216-3

  • Online ISBN: 978-3-319-17217-0

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