Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제42권6호
  • /
  • Pages.379-382
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  • 2016
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Lymphocytoma cutis: diagnostic enigma for the maxillofacial surgeon

  • Kale, Tejraj P. (Department of Oral and Maxillofacial Surgery, KLE Viswanath Katti Institute of Dental Sciences, KLE University) ;
  • Singh, Arjun Gurmeet (Department of Oral and Maxillofacial Surgery, KLE Viswanath Katti Institute of Dental Sciences, KLE University) ;
  • Shah, Pushpak (Department of Oral Pathology and Microbiology, KLE Viswanath Katti Institute of Dental Sciences, KLE University)
  • 투고 : 2015.10.30
  • 심사 : 2016.01.17
  • 발행 : 2016.12.31
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초록

Cutaneous lymphoid hyperplasia (CLH) is a cutaneous pseudolymphoma with a worldwide distribution, equally affecting all races and ethnic groups. Due to its vast array of characteristics, it is most often missed in the differential diagnosis of firm to soft lumps on the head and neck. A systematic approach to the workup and diagnosis along with treatment of such lesions is discussed in this article. A 20-year-old Asian Indian female presented to our Oral and Maxillofacial unit with a lump on the left side of her forehead for 1 month. Local examination revealed a $2.5{\times}3.0cm^2$, well circumscribed swelling over the left para median region that was firm to doughy and non-tender. There was no other significant finding on general examination. Excisional biopsy of the lesion was performed, followed by histopathologic processing. The general etiology, pathogenesis, clinical presentation, differential diagnosis, clinical course, prognosis, treatment, and prevention have been discussed in line with the recent modalities of diagnosis and treatment of CLH. Due to the overlapping clinical and histological characteristics of CLH with many other lesions, it is important to consider this lesion in the differential diagnosis of cutaneous lesions.

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참고문헌

  1. McElroy MK, Kulidjian AA, Sumit R, Weidner N. Benign lymphoid hyperplasia (pseudolymphoma) of soft tissue. Hum Pathol 2011;42:1813-8. https://doi.org/10.1016/j.humpath.2011.02.006
  2. Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ. Fitzpatrick's dermatology in general medicine. 7th ed. New York: McGraw-Hill; 2008:1407-8.
  3. Salama S. Primary cutaneous B-cell lymphoma and lymphoproliferative disorders of skin: current status of pathology and classification. Am J Clin Pathol 2000;114 Suppl:S104-28.
  4. Takeda H, Kaneko T, Harada K, Matsuzaki Y, Nakano H, Hanada K. Successful treatment of lymphadenosis benigna cutis with topical photodynamic therapy with delta-aminolevulinic acid. Dermatology 2005;211:264-6. https://doi.org/10.1159/000087021
  5. Schartz NE, De La Blanchardiere A, Alaoui S, Morel P, Sigaux F, Vignon-Pennamen MD, et al. Regression of CD8+ pseudolymphoma after HIV antiviral triple therapy. J Am Acad Dermatol 2003;49:139-41.
  6. El-Dars LD, Statham BN, Blackford S, Williams N. Lymphocytoma cutis treated with topical tacrolimus. Clin Exp Dermatol 2005;30:305-7. https://doi.org/10.1111/j.1365-2230.2005.01754.x
  7. Mikasa K, Watanabe D, Kondo C, Tamada Y, Matsumoto Y. Topical 5-aminolevulinic acid-based photodynamic therapy for the treatment of a patient with cutaneous pseudolymphoma. J Am Acad Dermatol 2005;53:911-2. https://doi.org/10.1016/j.jaad.2005.05.016
  8. Arai E, Shimizu M, Tsuchida T, Izaki S, Ogawa F, Hirose T. Lymphomatoid keratosis: an epidermotropic type of cutaneous lymphoid hyperplasia: clinicopathological, immunohistochemical, and molecular biological study of 6 cases. Arch Dermatol 2007;143:53-9.