Clinical spectrum of primary cutaneous CD30-positive anaplastic large cell lymphoma: an analysis of the Mannheim Cutaneous Lymphoma Registry
Background: Primary cutaneous CD30+ anaplastic large cell lymphomas (C-ALCL) have indolent clinical behavior with an estimated 5-year survival rate of 95%. The clinical features and disease courses of C-ALCL identified in the lymphoma registry of Mannheim University hospital are described in the fol...
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| Main Authors: | , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
24 April 2012
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| In: |
Journal der Deutschen Dermatologischen Gesellschaft
Year: 2012, Volume: 10, Issue: 5, Pages: 331-339 |
| ISSN: | 1610-0387 |
| DOI: | 10.1111/j.1610-0387.2011.07794.x |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1111/j.1610-0387.2011.07794.x Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1610-0387.2011.07794.x 
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| Author Notes: | Nina Booken, Sergij Goerdt, Claus-Detlev Klemke |
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| 245 | 1 | 0 | |a Clinical spectrum of primary cutaneous CD30-positive anaplastic large cell lymphoma |b an analysis of the Mannheim Cutaneous Lymphoma Registry |c Nina Booken, Sergij Goerdt, Claus-Detlev Klemke |
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| 500 | |a The results of this paper were presented in part at the annual meeting of the German Society of Dermatology (DDG) on April 1, 2011. - Gesehen am 16.08.2018 | ||
| 520 | |a Background: Primary cutaneous CD30+ anaplastic large cell lymphomas (C-ALCL) have indolent clinical behavior with an estimated 5-year survival rate of 95%. The clinical features and disease courses of C-ALCL identified in the lymphoma registry of Mannheim University hospital are described in the following. Patients and methods: All C-ALCL patients identified in the database were analyzed in regard to clinical picture, histology, immunohistochemistry, molecular biology, staging, therapy, follow-up, and outcome. Results: 14 C-ALCL patients were identified. The mean age was 69 years and 57% were men. Solitary skin lesions in one anatomical region were seen in 12 patients upon initial diagnosis. Two patients presented with multiple lesions at different anatomical sites. In 2 patients there was specific lymph node involvement. In one C-ALCL patient, follow-up over 17 months revealed extracutaneous infiltration. Half of the patients relapsed and 36% had multiple episodes. The majority of our patients were treated with surgical excision followed by electron beam radiotherapy. The 5-year survival rate was 93% in C-ALCL. Conclusions: The clinical presentation of C-ALCL varies. Staging procedures and a close clinical pathological correlation at initial diagnosis are essential. Due to a high rate of relapses and the possibility of developing extranodal manifestations over the course of the disease, close follow-up is recommended. | ||
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