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Rhinophymalike Swelling in an 86-Year-Old WomanDiagnosis
Arch Dermatol. 2004;140:751.
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Diagnosis: Primary cutaneous B-cell lymphoma of the nose.
MICROSCOPIC FINDINGS AND CLINICAL COURSE
Sections of skin showed a dense and diffuse dermal infiltrate of small atypical lymphocytes (Figure 2). Epitheliotropism was not seen. Immunohistochemically, the majority of the cells marked as B lymphocytes (CD20 positive), with a lesser number of individually scattered T lymphocytes (CD3 positive). The cells diffusely expressed bcl-2 protein. Occasional lymphocytes expressed bcl-6 protein, and the cells were immunonegative for CD5, CD10, and and chains. An immunoglobulin heavy-chain gene rearrangement was detected by polymerase chain reaction. These histopathologic, immunophenotypic, and molecular findings were consistent with B-cell lymphoma of follicle center origin.
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A complete blood cell count, a comprehensive metabolic profile, and liver function test results were all within normal limits. A chest radiograph and computed tomograms of the head, chest, abdomen, and pelvis revealed no abnormalities. The patient was referred to the hematology-oncology clinic, where a bone marrow aspirate revealed atypical lymphoid aggregates scattered throughout the . . . [Full Text of this Article] DISCUSSION
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Rhinophymalike Swelling in an 86-Year-Old WomanQuiz Case
James L. Seward, Janine C. Malone, and Jeffrey P. Callen
Arch Dermatol. 2004;140(6):751.
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