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1. Scarisbrick JJ, Child FJ, Clift A, Sabroe R, Whittaker SJ, Spittle M, Russell-Jones R: A trial of fludarabine and cyclophosphamide combination chemotherapy in the treatment of advanced refractory primary cutaneous T-cell lymphoma. Br J Dermatol; 2001 May;144(5):1010-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A trial of fludarabine and cyclophosphamide combination chemotherapy in the treatment of advanced refractory primary cutaneous T-cell lymphoma.
  • BACKGROUND: The combination of fludarabine and cyclophosphamide shows synergistic toxicity in vitro and has been used to treat nodal non-Hodgkin's lymphoma and relapsed chronic lymphocytic leukaemia.
  • OBJECTIVES: To test the efficacy of this combination in 12 patients with cutaneous T-cell lymphoma (CTCL).
  • METHODS: Nine patients with erythrodermic CTCL were identified for the study, eight of whom met the criteria for Sézary syndrome (SS), and three with tumour-stage mycosis fungoides (MF).
  • Six patients had treatment withdrawn, five due to bone marrow suppression and one due to progressive disease.
  • No difference in pretrial parameters were found in those who had treatment withdrawn and those who tolerated at least three courses.
  • As with other multiagent chemotherapy regimens, bone marrow toxicity is a common and severe side-effect.
  • [MeSH-major] Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Lymphoma, T-Cell, Cutaneous / drug therapy. Skin Neoplasms / drug therapy. Vidarabine / analogs & derivatives
  • [MeSH-minor] Aged. Cyclophosphamide / administration & dosage. Female. Follow-Up Studies. Humans. Middle Aged. Mycosis Fungoides / drug therapy. Pilot Projects. Sezary Syndrome / drug therapy. Treatment Outcome


2. Kiratli H, Gümüs K: [Mycosis fungoides of the eyelids. Two case reports]. J Fr Ophtalmol; 2006 Mar;29(3):323-6
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  • [Title] [Mycosis fungoides of the eyelids. Two case reports].
  • [Transliterated title] Mycosis fongoïde des paupières. A propos de deux cas.
  • Mycosis fungoides is a distinct variant of cutaneous T cell lymphoma.
  • We describe two male patients presenting with the third stage of the disease at the age of 56 and 67 years.
  • Multiagent chemotherapy and PUVA treatment were administered with limited successful outcome on their cutaneous lesions.
  • These two cases demonstrate the poor prognosis of the tumor stage because of strong association with widespread systemic involvement and emphasize the need for early diagnosis.
  • [MeSH-major] Eyelid Neoplasms. Mycosis Fungoides. Skin Neoplasms

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  • (PMID = 16557179.001).
  • [ISSN] 1773-0597
  • [Journal-full-title] Journal français d'ophtalmologie
  • [ISO-abbreviation] J Fr Ophtalmol
  • [Language] fre
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] France
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3. Grange F: [Skin cancer: what's new in clinical research?]. Ann Dermatol Venereol; 2007 Dec;134 Suppl 1:8S53-63
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  • In this review of the recent literature, we selected epidemiological, clinical, and therapeutic data published between October 2006 and September 2007.
  • New epidemiological data have been provided regarding the incidence of different types of skin cancers, the effect of certain risk factors or drug or food protective factors, the overall improvement of survival in melanoma, the epidemiological, clinical, and/or therapeutic particularities of rapidely growing melanomas and thick melanomas, and the relations between sun exposure, skin cancers, and other solid tumors.
  • New prognostic studies in melanoma have improved the evaluation of prognosis in specific situations such as thin melanoma, acrolentiginous melanoma, and melanoma with positive sentinel lymph nodes (depending on the type of positivity) or negative sentinel lymph nodes.
  • Clinical trials evaluating new therapeutic approaches in stage III and IV melanoma are going on.
  • Several studies confirmed the clinical benefit of adjuvant irradiation on the tumor site in Merkel cell carcinoma.
  • New treatments are being studied or have been approved in refractory forms of cutaneous T-cell lymphoma and in inoperable forms of squamous cell carcinoma and dermatofibrosarcoma protuberans.
  • [MeSH-major] Biomedical Research / trends. Carcinoma / therapy. Dermatofibrosarcoma / therapy. Lymphoma, T-Cell, Cutaneous / therapy. Melanoma / therapy. Skin Neoplasms / therapy
  • [MeSH-minor] Antineoplastic Agents / therapeutic use. Carcinoma, Merkel Cell / therapy. Evidence-Based Medicine. France / epidemiology. Humans. Incidence. Interferons / therapeutic use. Prognosis. Radiotherapy, Adjuvant. Risk Factors

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  • (PMID = 18675141.001).
  • [ISSN] 0151-9638
  • [Journal-full-title] Annales de dermatologie et de vénéréologie
  • [ISO-abbreviation] Ann Dermatol Venereol
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] France
  • [Chemical-registry-number] 0 / Antineoplastic Agents; 9008-11-1 / Interferons
  • [Number-of-references] 66
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4. Summers TA Jr, Rush W, Aguilera N, Lupton G: Cutaneous involvement in the lymphoepithelioid variant of peripheral T-cell lymphoma, unspecified (Lennert lymphoma). Report of a case and review of the literature. J Cutan Pathol; 2009 Oct;36 Suppl 1:25-30
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  • [Title] Cutaneous involvement in the lymphoepithelioid variant of peripheral T-cell lymphoma, unspecified (Lennert lymphoma). Report of a case and review of the literature.
  • Lennert lymphoma (LL), or the lymphoepithelioid variant of peripheral T-cell lymphoma, is an uncommon entity with rarely seen or reported presentations in the skin.
  • Cutaneous involvement of LL has been characterized by asymptomatic, non-ulcerated, red to violet papules, nodules and small plaques (less than 5 cm) on the trunk and extremities.
  • Key to the diagnosis of LL is the presence of epithelioid histiocytes and atypical small lymphoid cells without increased vascularity or epidermotropism.
  • Immunophenotyping shows a dense monoclonal T-cell population commonly associated with aberrant loss of T-cell-associated antigens.
  • T-cell receptor gene rearrangements are also identified.
  • Patients typically present with advanced stage and have a low 5-year survival.
  • Herein, we present a case of cutaneous involvement by LL at the time of initial presentation that persisted after initiation of chemotherapy and was finally verified as secondary cutaneous involvement of LL 1 year later histologically, immunophenotypically and by T-cell receptor gene rearrangement studies.
  • [MeSH-major] Lymphoma, T-Cell, Peripheral / pathology. Skin Neoplasms / pathology. T-Lymphocytes / pathology
  • [MeSH-minor] Antigens, CD / biosynthesis. Antineoplastic Combined Chemotherapy Protocols. Biomarkers, Tumor / analysis. Humans. Immunohistochemistry. Immunophenotyping. Male. Middle Aged. Polymerase Chain Reaction

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  • (PMID = 19775391.001).
  • [ISSN] 1600-0560
  • [Journal-full-title] Journal of cutaneous pathology
  • [ISO-abbreviation] J. Cutan. Pathol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] Denmark
  • [Chemical-registry-number] 0 / Antigens, CD; 0 / Biomarkers, Tumor
  • [Number-of-references] 18
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5. Mann BS, Johnson JR, Cohen MH, Justice R, Pazdur R: FDA approval summary: vorinostat for treatment of advanced primary cutaneous T-cell lymphoma. Oncologist; 2007 Oct;12(10):1247-52
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  • [Title] FDA approval summary: vorinostat for treatment of advanced primary cutaneous T-cell lymphoma.
  • Food and Drug Administration granted regular approval to vorinostat (Zolinza(R); Merck & Co., Inc., Whitehouse Station, NJ), a histone deacetylase inhibitor, for the treatment of cutaneous manifestations of cutaneous T-cell lymphoma (CTCL) in patients with progressive, persistent, or recurrent disease on or following two systemic therapies.
  • The pivotal study supporting approval was a single-arm open-label phase II trial that enrolled 74 patients with stage IB and higher CTCL who had failed two systemic therapies (one of which must have contained bexarotene).
  • Sixty-one patients (82%) had stage IIB or higher CTCL and 30 patients (41%) had Sézary syndrome.
  • The median duration of protocol treatment was 118 days.
  • The objective response rate was 30% (95% confidence interval [CI], 19.7%-41.5%), the estimated median response duration was 168 days, and the median time to tumor progression was 202 days.
  • [MeSH-major] Antineoplastic Agents / therapeutic use. Hydroxamic Acids / therapeutic use. Lymphoma, T-Cell, Cutaneous / drug therapy. Skin Neoplasms / drug therapy
  • [MeSH-minor] Administration, Oral. Adult. Aged. Aged, 80 and over. Dose-Response Relationship, Drug. Drug Approval. Drug Resistance, Neoplasm. Female. Follow-Up Studies. Histone Deacetylase Inhibitors. Humans. Male. Maximum Tolerated Dose. Middle Aged. Neoplasm Staging. Salvage Therapy. Survival Rate. Treatment Outcome. United States. United States Food and Drug Administration


6. Wobser M, Göppner D, Lang SC, Beckmann G, Flentje M, Ugurel S, Bröcker EB, Becker JC: Durable complete remission of therapy-refractory, tumor-stage cutaneous T-cell lymphoma under radioimmunotherapy with electron beam irradiation and denileukin diftitox. Arch Dermatol; 2010 Jul;146(7):805-6
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  • [Title] Durable complete remission of therapy-refractory, tumor-stage cutaneous T-cell lymphoma under radioimmunotherapy with electron beam irradiation and denileukin diftitox.
  • [MeSH-major] Antineoplastic Agents / therapeutic use. Diphtheria Toxin / therapeutic use. Interleukin-2 / therapeutic use. Lymphoma, T-Cell, Cutaneous / therapy. Remission Induction / methods. Skin Neoplasms / therapy
  • [MeSH-minor] Aged, 80 and over. Dose-Response Relationship, Drug. Follow-Up Studies. Foot. Humans. Male. Neoplasm Staging. Radiotherapy, Adjuvant. Recombinant Fusion Proteins / administration & dosage. Recombinant Fusion Proteins / therapeutic use

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  • (PMID = 20644054.001).
  • [ISSN] 1538-3652
  • [Journal-full-title] Archives of dermatology
  • [ISO-abbreviation] Arch Dermatol
  • [Language] eng
  • [Publication-type] Case Reports; Letter
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antineoplastic Agents; 0 / Diphtheria Toxin; 0 / Interleukin-2; 0 / Recombinant Fusion Proteins; 25E79B5CTM / denileukin diftitox
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7. Pan CC, Lee WL: Vaginal obliteration in a woman with a history of cutaneous T-cell lymphoma: the results of combined chemotherapy-induced gonadal toxicity and lymphoma relapse. Taiwan J Obstet Gynecol; 2010 Mar;49(1):69-71
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  • [Title] Vaginal obliteration in a woman with a history of cutaneous T-cell lymphoma: the results of combined chemotherapy-induced gonadal toxicity and lymphoma relapse.
  • OBJECTIVE: Although ovarian failure commonly occurs following chemotherapy, the relation between menopause or related sexual activity in this failure is often overlooked.
  • CASE REPORT: A 42-year-old married woman with a history of Mayer-Rokitansky-Küster-Hauser syndrome, an established neovagina, and complete clinical remission of cutaneous T-cell lymphoma (stage T4) treated with bleomycin, cyclophosphamide, doxorubicin, vincristine and prednisolone had suffered from abdominal pain.
  • Imaging studies (computed tomography) and laboratory evaluations indicating a suspicious pelvic abscess with leukocytosis (16,800/mm(3)) and elevated serum C-reactive protein (18.4 mg/L) levels.
  • The patient underwent intensive medical treatment and surgical intervention, but died 2 months later.
  • Pathology showed widespread lymphoma throughout the perineal area, including the neovagina, deep pelvic cavity and the entire abdominal cavity.
  • CONCLUSION: Physicians should be greatly concerned about the frequency and severity of treatment-associated acute and long-term complications, such as gonadal toxicity.
  • In this case, vaginal obliteration was an early sign of tumor recurrence, although menopause may have contributed to the vaginal obliteration.
  • [MeSH-major] Antineoplastic Combined Chemotherapy Protocols / adverse effects. Lymphoma, T-Cell, Cutaneous / pathology. Neoplasm Recurrence, Local. Surgically-Created Structures. Vagina / surgery. Vaginal Neoplasms / pathology

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  • (PMID = 20466296.001).
  • [ISSN] 1875-6263
  • [Journal-full-title] Taiwanese journal of obstetrics & gynecology
  • [ISO-abbreviation] Taiwan J Obstet Gynecol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] China
  • [Chemical-registry-number] 0 / Adrenal Cortex Hormones; 11056-06-7 / Bleomycin; 5J49Q6B70F / Vincristine; 80168379AG / Doxorubicin; 8N3DW7272P / Cyclophosphamide; 9PHQ9Y1OLM / Prednisolone
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8. Mann BS, Johnson JR, He K, Sridhara R, Abraham S, Booth BP, Verbois L, Morse DE, Jee JM, Pope S, Harapanhalli RS, Dagher R, Farrell A, Justice R, Pazdur R: Vorinostat for treatment of cutaneous manifestations of advanced primary cutaneous T-cell lymphoma. Clin Cancer Res; 2007 Apr 15;13(8):2318-22
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  • [Title] Vorinostat for treatment of cutaneous manifestations of advanced primary cutaneous T-cell lymphoma.
  • PURPOSE: To discuss vorinostat approval for treatment of cutaneous manifestations of advanced cutaneous T-cell lymphoma (CTCL).
  • EXPERIMENTAL DESIGN: Data from 1 single-arm, open-label, multicenter pivotal trial and 11 other trials submitted to support the new drug application for vorinostat in the treatment of advanced primary CTCL were reviewed.
  • RESULTS: The pivotal trial enrolled 74 patients with stage IB or higher CTCL.
  • Median number of prior treatments was 3, and 61 patients (82%) had stage IIB or higher disease.
  • The objective response rate in the skin disease assessed by change in the overall SWAT score from the baseline was 30% (95% CI, 18.5 to 42.6) in patients with stage IIB or higher disease.
  • Median time to tumor progression was 148 days for overall population and 169 days for patients with stage IIB or higher disease.
  • Vorinostat was approved for treatment of cutaneous manifestations of CTCL.
  • [MeSH-major] Anticarcinogenic Agents / therapeutic use. Hydroxamic Acids / therapeutic use. Lymphoma, T-Cell, Cutaneous / drug therapy
  • [MeSH-minor] Animals. Cats. Clinical Trials, Phase I as Topic. Clinical Trials, Phase II as Topic. Dogs. Humans. Neoplasm Staging. Patient Selection. Pruritus / drug therapy. Pruritus / etiology. Skin / drug effects. Skin / pathology. United States. United States Food and Drug Administration

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  • (PMID = 17438089.001).
  • [ISSN] 1078-0432
  • [Journal-full-title] Clinical cancer research : an official journal of the American Association for Cancer Research
  • [ISO-abbreviation] Clin. Cancer Res.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Anticarcinogenic Agents; 0 / Hydroxamic Acids; 58IFB293JI / vorinostat
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9. Wollina U, Graefe T, Karte K: Treatment of relapsing or recalcitrant cutaneous T-cell lymphoma with pegylated liposomal doxorubicin. J Am Acad Dermatol; 2000 Jan;42(1 Pt 1):40-6
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  • [Title] Treatment of relapsing or recalcitrant cutaneous T-cell lymphoma with pegylated liposomal doxorubicin.
  • BACKGROUND: Pegylated liposomes are stable, long-circulating carriers useful for delivering doxorubicin to tumor sites with a lower toxicity than the free drug.
  • Free doxorubicin is used in several treatment protocols for non-Hodgkin's lymphoma.
  • Although pegylated liposomal doxorubicin is currently used in the treatment of Kaposi's sarcoma, no data are available for tumors, such as primary cutaneous T-cell lymphomas (CTCLs).
  • Six patients (1 woman and 5 men) aged 59 to 78 years with relapsing or recalcitrant CTCL of the mycosis fungoides type, stage (Ib/IIb), were treated with pegylated liposomal doxorubicin to induce a clinical response.
  • The drug was administered at a dosage of 20 mg m(-2) once a month.
  • There was no need of additional therapy because of side effects.
  • [MeSH-major] Antineoplastic Agents / administration & dosage. Doxorubicin / administration & dosage. Mycosis Fungoides / drug therapy. Skin Neoplasms / drug therapy
  • [MeSH-minor] Aged. Drug Carriers. Female. Humans. Infusions, Intravenous. Liposomes. Male. Middle Aged. Pilot Projects. Polyethylene Glycols. Prospective Studies. Recurrence

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  • [CommentIn] J Am Acad Dermatol. 2001 Jan;44(1):149-50 [11148501.001]
  • (PMID = 10607318.001).
  • [ISSN] 0190-9622
  • [Journal-full-title] Journal of the American Academy of Dermatology
  • [ISO-abbreviation] J. Am. Acad. Dermatol.
  • [Language] eng
  • [Publication-type] Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] UNITED STATES
  • [Chemical-registry-number] 0 / Antineoplastic Agents; 0 / Drug Carriers; 0 / Liposomes; 30IQX730WE / Polyethylene Glycols; 80168379AG / Doxorubicin
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10. Onesti MG, Mazzocchi M, De Leo A, Scuderi N: T-cell lymphoma presenting as a rapidly enlarging tumor on the lower eyelid. Acta Chir Plast; 2005;47(3):65-6
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  • [Title] T-cell lymphoma presenting as a rapidly enlarging tumor on the lower eyelid.
  • Lymphoma or leukemia skin lesions as a secondary site of disease are quite common; however, to discover a cutaneous Hodgkin or non-Hodgkin lymphoma is very unusual.
  • To find a cutaneous T-cell lymphoma on the skin of the face is a rarity.
  • Because the condition is so rare and difficult to diagnose and treat, we report the case of a young man with a T-cell lymphoma with atypical and anaplastic cells on the lower eyelid.
  • The patient was treated with 4 cycles of chemotherapy, and radiotherapy, and the tumor was resolved after 6 weeks.
  • Our case was clinically suggestive of a rapidly enlarging malignant lymphoma on the eyelid.
  • If the lymphomas are detected at an early stage the prognosis for survival is favorable.
  • A few forms of treatment are possible, either surgical treatment, or radiotherapy and chemotherapy, where response to the treatment is better.
  • [MeSH-major] Lymphoma, T-Cell, Cutaneous / pathology. Skin Neoplasms / pathology
  • [MeSH-minor] Adult. Antineoplastic Combined Chemotherapy Protocols / therapeutic use. Cyclophosphamide / therapeutic use. Doxorubicin / therapeutic use. Eyelids. Humans. Male. Prednisone / therapeutic use. Radiotherapy. Treatment Outcome. Vincristine / therapeutic use

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  • (PMID = 16173513.001).
  • [ISSN] 0001-5423
  • [Journal-full-title] Acta chirurgiae plasticae
  • [ISO-abbreviation] Acta Chir Plast
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Czech Republic
  • [Chemical-registry-number] 5J49Q6B70F / Vincristine; 80168379AG / Doxorubicin; 8N3DW7272P / Cyclophosphamide; VB0R961HZT / Prednisone; CHOP protocol
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11. Russell-Jones R, Child F, Olavarria E, Whittaker S, Spittle M, Apperley J: Autologous peripheral blood stem cell transplantation in tumor-stage mycosis fungoides: predictors of disease-free survival. Ann N Y Acad Sci; 2001 Sep;941:147-54
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  • [Title] Autologous peripheral blood stem cell transplantation in tumor-stage mycosis fungoides: predictors of disease-free survival.
  • Nine patients with mycosis fungoides (age range 27-67) underwent autologous peripheral blood stem cell transplantation (PBSCT).
  • All patients had tumor-stage disease, and four had lymph node involvement.
  • Eight patients exhibited a peripheral blood T cell clone using PCR/SSCP analysis of the TCR gamma gene, six prior to harvest and two at the time of harvest.
  • Conditioning prior to reinfusion of stem cells was achieved with various combinations of total skin electron beam (TSEB), total body irradiation (TBI), and chemotherapy, depending upon the patient's prior exposure to radiotherapy.
  • Those with a short DFS were distinguished by rapid tumor onset prior to transplant but not by stage at transplant.
  • Loss of a detectable T cell clone after manipulation of the harvest did not discriminate between the two groups, but rapid relapsers had been subjected to a greater degree of T cell depletion, possibly indicating a compromised cytotoxic response post-PBSCT.
  • The median survival of the cohort is four years from tumor onset, 15 months from PBSCT, and 27 months from the date a peripheral blood clone was first detected in the presence of tumor-stage disease.
  • Our data demonstrate the value of PBSCT for inducing remission in tumor-stage mycosis fungoides.
  • Reinfusion of neoplastic cells could be avoided by harvesting stem cells at an earlier stage in the disease process, preferably before a T cell clone is detectable in the peripheral blood.
  • Alternatively T cell depletion should be restricted to the CD4 subset.
  • [MeSH-major] Hematopoietic Stem Cell Transplantation. Mycosis Fungoides / mortality. Mycosis Fungoides / therapy. Skin Neoplasms / mortality. Skin Neoplasms / therapy
  • [MeSH-minor] Adult. Aged. Cohort Studies. Disease-Free Survival. Genes, T-Cell Receptor gamma. Humans. Lymphocyte Depletion. Middle Aged. Remission Induction. Risk Factors. Transplantation Conditioning. Treatment Outcome

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  • (PMID = 11594568.001).
  • [ISSN] 0077-8923
  • [Journal-full-title] Annals of the New York Academy of Sciences
  • [ISO-abbreviation] Ann. N. Y. Acad. Sci.
  • [Language] eng
  • [Publication-type] Case Reports; Clinical Trial; Journal Article
  • [Publication-country] United States
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12. Boudova L, Kazakov DV, Jindra P, Sima R, Vanecek T, Kuntscher V, Vera V, Bouda J, Michal M: Primary cutaneous histiocyte and neutrophil-rich CD30+ and CD56+ anaplastic large-cell lymphoma with prominent angioinvasion and nerve involvement in the forehead and scalp of an immunocompetent woman. J Cutan Pathol; 2006 Aug;33(8):584-9
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  • [Title] Primary cutaneous histiocyte and neutrophil-rich CD30+ and CD56+ anaplastic large-cell lymphoma with prominent angioinvasion and nerve involvement in the forehead and scalp of an immunocompetent woman.
  • BACKGROUND: Cutaneous lymphomas co-expressing CD56 and CD30 are very rare.
  • They share a clinicopathological overlap with natural killer- (NK)/T-cell lymphomas and anaplastic large-cell lymphomas (ALCLs), two entities with widely disparate clinical behavior.
  • METHODS: We present a case of an immunocompetent 57-year-old Caucasian woman with a rapidly growing, angiodestructive and neuroinvasive primary cutaneous ALCL (PCALCL).
  • The partially ulcerated and pus-secreting tumor involved the forehead and scalp and was assessed as clinical stage IAE.
  • RESULTS: After chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisone), the patient achieved a complete remission.
  • Additionally, high-dose chemotherapy with autologous peripheral blood stem-cell transplantation was administered as a consolidation of complete remission, in which she has remained for 6 years.
  • CONCLUSIONS: This is the first CD30+ and CD56+ primary skin lymphoma to be reported on the head.
  • The presented case carries a remarkable combination of clinicopathological features of PCALCL and NK-/T-cell lymphoma.
  • [MeSH-major] Antigens, CD30 / analysis. Antigens, CD56 / analysis. Lymphoma, Large B-Cell, Diffuse / pathology. Skin Neoplasms / pathology
  • [MeSH-minor] Female. Forehead. Head and Neck Neoplasms / blood supply. Head and Neck Neoplasms / drug therapy. Head and Neck Neoplasms / immunology. Head and Neck Neoplasms / pathology. Histiocytes / cytology. Humans. Middle Aged. Neutrophils / cytology. Scalp / blood supply. Scalp / drug effects. Scalp / innervation. Scalp / pathology. Stem Cell Transplantation

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  • (PMID = 16919035.001).
  • [ISSN] 0303-6987
  • [Journal-full-title] Journal of cutaneous pathology
  • [ISO-abbreviation] J. Cutan. Pathol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Denmark
  • [Chemical-registry-number] 0 / Antigens, CD30; 0 / Antigens, CD56
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13. Buhl T, Bertsch HP, Kaune KM, Mitteldorf C, Schön MP, Kretschmer L: Low-dose gemcitabine efficacious in three patients with tumor-stage mycosis fungoides. Clin Lymphoma Myeloma; 2009 Oct;9(5):E21-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Low-dose gemcitabine efficacious in three patients with tumor-stage mycosis fungoides.
  • Mycosis fungoides is the most common subtype of mature T-cell lymphoma that primarily arises in the skin.
  • The tumor manifests as patches, plaques, tumors, or erythroderma and can secondarily involve lymph nodes, peripheral blood, and visceral organs.
  • In advanced tumor stage, chemotherapy is a second-line approach, which is generally not considered curative.
  • Initially, most patients profit from this treatment, but observed remissions usually do not exceed several months.
  • Because of possible immunosuppressive effects in vulnerable patients, the overall benefit of chemotherapy itself is not unequivocal in cutaneous T-cell lymphoma.
  • We report 3 patients whose tumor-stage mycosis fungoides was not sufficiently controlled by several preceding systemic therapies, including liposome-encapsulated doxorubicin.
  • [MeSH-major] Antimetabolites, Antineoplastic / administration & dosage. Deoxycytidine / analogs & derivatives. Mycosis Fungoides / drug therapy. Skin Neoplasms / drug therapy

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  • (PMID = 19858049.001).
  • [ISSN] 1938-0712
  • [Journal-full-title] Clinical lymphoma & myeloma
  • [ISO-abbreviation] Clin Lymphoma Myeloma
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antimetabolites, Antineoplastic; 0W860991D6 / Deoxycytidine; B76N6SBZ8R / gemcitabine
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14. Parker SR, Solomon AR, Lane JE: A report of Epstein-Barr virus-positive primary cutaneous natural killer-/T-cell lymphoma. J Am Acad Dermatol; 2008 Jul;59(1):157-61
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A report of Epstein-Barr virus-positive primary cutaneous natural killer-/T-cell lymphoma.
  • We describe a patient who presented with Epstein-Barr virus-positive tumor-stage primary cutaneous lymphoma.
  • Tissue analysis revealed large tumor cells that were surface CD2- and CD3-positive; T-cell-restricted intracellular antigen-positive; CD56-, CD20-, and CD30-negative; and stained positively for Epstein-Barr virus.
  • Although the presence of rheumatoid arthritis and therapy with methotrexate are putative risk factors for the development of immune suppression-related and Epstein-Barr virus-related lymphomas, the vast majority of lymphomas in this setting are of B-cell origin, and rarely are these primary cutaneous in nature.
  • In addition, our patient's tumor displayed an unusual phenotype, with immunophenotypic features suggestive of an atypical natural killer-/T-cell lymphoma.
  • She has remained in complete remission 28 months since diagnosis.
  • [MeSH-major] Epstein-Barr Virus Infections / diagnosis. Lymphoma, T-Cell, Cutaneous / diagnosis
  • [MeSH-minor] Administration, Oral. Arthritis, Rheumatoid / complications. Arthritis, Rheumatoid / drug therapy. Biopsy. Female. Humans. Killer Cells, Natural. Lymphocyte Subsets. Methotrexate / administration & dosage. Middle Aged. Skin / pathology

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  • (PMID = 18468723.001).
  • [ISSN] 1097-6787
  • [Journal-full-title] Journal of the American Academy of Dermatology
  • [ISO-abbreviation] J. Am. Acad. Dermatol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] YL5FZ2Y5U1 / Methotrexate
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15. Guitart J, Wickless SC, Oyama Y, Kuzel TM, Rosen ST, Traynor A, Burt R: Long-term remission after allogeneic hematopoietic stem cell transplantation for refractory cutaneous T-cell lymphoma. Arch Dermatol; 2002 Oct;138(10):1359-65
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Long-term remission after allogeneic hematopoietic stem cell transplantation for refractory cutaneous T-cell lymphoma.
  • BACKGROUND: Allogeneic hematopoietic stem cell transplantation has proved to be an effective therapeutic option in various hematologic neoplastic disorders.
  • Because patients with advanced cutaneous T-cell lymphoma have a poor prognosis, with minimal possibilities of sustained remission, we studied the therapeutic potential of hematopoietic stem cell transplantation.
  • OBSERVATIONS: Three young patients with refractory tumor stage mycosis fungoides underwent allogeneic HLA-matched sibling transplantation with combined marrow and CD34-enriched peripheral blood stem cell transplantation after cytoreductive chemotherapy and total-body irradiation.
  • One patient was in complete remission for 9 months, followed by limited cutaneous recurrence.
  • Mild graft-vs-host disease and graft-vs-tumor effect have contained the recurring disease as a low-grade process.
  • CONCLUSIONS: Allogeneic hematopoietic stem cell transplantation has the potential for sustained remission and the possibility of cure for young patients with advanced and recalcitrant cutaneous T-cell lymphoma.
  • Even in the absence of complete remission, an allogeneic graft-vs-tumor effect may provide an immune mechanism to control the malignant T-cell process and alter the natural history of disease.
  • [MeSH-major] Hematopoietic Stem Cell Transplantation / methods. Lymphoma, T-Cell, Cutaneous / pathology. Lymphoma, T-Cell, Cutaneous / therapy
  • [MeSH-minor] Adult. Biopsy, Needle. Female. Follow-Up Studies. Humans. Male. Mycosis Fungoides / pathology. Mycosis Fungoides / therapy. Remission Induction. Severity of Illness Index. Sezary Syndrome / pathology. Sezary Syndrome / therapy. Transplantation, Autologous. Treatment Outcome

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  • (PMID = 12374543.001).
  • [ISSN] 0003-987X
  • [Journal-full-title] Archives of dermatology
  • [ISO-abbreviation] Arch Dermatol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 28
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16. Bladon J, Taylor P: Extracorporeal photopheresis reduces the number of mononuclear cells that produce pro-inflammatory cytokines, when tested ex-vivo. J Clin Apher; 2002;17(4):177-82
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Extracorporeal photopheresis (ECP) has been shown to be clinically effective in the treatment of many T cell-mediated conditions.
  • We were interested to determine what influence ECP has on pro-inflammatory cytokine secretion at this early pre-infusion stage.
  • Samples from 6 cutaneous T cell lymphoma (CTCL) and 5 graft versus host disease (GvHD) patients were taken pre ECP and immediately post ECP, prior to re-infusion.
  • Following separation, the PBMCs were added to a cell culture medium and stimulated with PMA, Ionomycin, and Brefeldin A for 6 hours.
  • Using flow cytometry, intracellular cytokine expression of IFNgamma and TNFalpha was determined in the T cell population.
  • For both patient groups, the number of IFNgamma-expressing T cells fell significantly at re-infusion, whilst both T cell- and monocyte-expressing TNFalpha levels were reduced at re-infusion.
  • However, the reduction in the number of IFNgamma- and TNFalpha-expressing mononuclear cells means, at this early stage, it is unlikely that these cytokines assist in the removal of the malignant Th2 cells present in CTCL.
  • [MeSH-minor] Case-Control Studies. Down-Regulation. Graft vs Host Disease / immunology. Graft vs Host Disease / pathology. Humans. Inflammation Mediators. Interferon-gamma / analysis. Leukocyte Count. Lymphocyte Activation / drug effects. Lymphoma, T-Cell, Cutaneous / immunology. Lymphoma, T-Cell, Cutaneous / pathology. Lymphoma, T-Cell, Cutaneous / therapy. T-Lymphocytes / pathology. T-Lymphocytes / secretion. Tumor Necrosis Factor-alpha / analysis

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  • [Copyright] Copyright 2002 Wiley-Liss, Inc.
  • (PMID = 12494410.001).
  • [ISSN] 0733-2459
  • [Journal-full-title] Journal of clinical apheresis
  • [ISO-abbreviation] J Clin Apher
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Cytokines; 0 / Inflammation Mediators; 0 / Tumor Necrosis Factor-alpha; 82115-62-6 / Interferon-gamma
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17. Amitay-Laish I, David M, Hodak E: Systemic progression following complete cutaneous remission under bexarotene treatment for tumor-stage mycosis fungoides. J Am Acad Dermatol; 2009 Aug;61(2):361-2
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Systemic progression following complete cutaneous remission under bexarotene treatment for tumor-stage mycosis fungoides.
  • [MeSH-major] Mycosis Fungoides / therapy. Neoplasm Invasiveness / pathology. Neoplasm Recurrence, Local / drug therapy. Skin Neoplasms / therapy. Tetrahydronaphthalenes / therapeutic use
  • [MeSH-minor] Biopsy, Needle. Combined Modality Therapy. Disease Progression. Dose-Response Relationship, Drug. Drug Administration Schedule. Follow-Up Studies. Humans. Immunohistochemistry. Male. Middle Aged. Retreatment. Risk Assessment. Treatment Outcome

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  • [CommentOn] J Am Acad Dermatol. 2005 Jun;52(6):991-6 [15928617.001]
  • (PMID = 19615550.001).
  • [ISSN] 1097-6787
  • [Journal-full-title] Journal of the American Academy of Dermatology
  • [ISO-abbreviation] J. Am. Acad. Dermatol.
  • [Language] eng
  • [Publication-type] Case Reports; Comment; Letter
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Tetrahydronaphthalenes; A61RXM4375 / bexarotene
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18. Akita Y, Watanabe D, Yanagishita T, Kuhara T, Kawamura C, Masuda Y, Kawada M, Nakaseko H, Tamada Y, Matsumoto Y: The effect of psoralen plus ultraviolet A in vitro in HUT-78 enhances by 5-aminolevulinic acid. Photodermatol Photoimmunol Photomed; 2007 Apr-Jun;23(2-3):95-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • BACKGROUND: Sezary syndrome and mycosis fungoides are forms of cutaneous T-cell lymphoma, and in the early stage of these diseases psoralen plus ultraviolet A (PUVA) is one of the treatments of choice.
  • Photodynamic therapy using 5-aminolevulinic acid (ALA-PDT) is an effective, non-invasive, and safe treatment for most superficial skin cancers.
  • In order to obtain greater efficacy of PUVA, we investigated the synergistic anti-tumor effects of ALA-PDT and PUVA using 8-methoxypsoralen (8-MOP) and a UVA lamp.
  • METHODS: The in vitro effects of PUVA and ALA-PDT and their combination in HUT-78 cell line from human SS were determined by MTT assay.
  • RESULTS: In our results, cell proliferation compared with controls was inhibited to 53.2% with UVA alone, 52.3% with 1 microM 8-MOP, 43.8% with 100 microM ALA, and 19.2% with combined 8-MOP and ALA.
  • CONCLUSION: Combined use of ALA and PUVA using 8-MOP and UVA lamps, which are widespread in Japan, had a strong anti-tumor effect in vitro.
  • Combined treatment with ALA-PDT and PUVA using a UVA lamp appears to have a strong treatment effect.
  • [MeSH-major] Aminolevulinic Acid / administration & dosage. Methoxsalen / administration & dosage. PUVA Therapy. Photosensitizing Agents / administration & dosage. Skin Neoplasms / drug therapy
  • [MeSH-minor] Cell Line, Tumor / drug effects. Cell Line, Tumor / radiation effects. Cell Proliferation / drug effects. Cell Proliferation / radiation effects. Drug Synergism. Humans. Mycosis Fungoides / drug therapy. Mycosis Fungoides / pathology. Sezary Syndrome / drug therapy. Sezary Syndrome / pathology. Ultraviolet Rays

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  • (PMID = 17523931.001).
  • [ISSN] 0905-4383
  • [Journal-full-title] Photodermatology, photoimmunology & photomedicine
  • [ISO-abbreviation] Photodermatol Photoimmunol Photomed
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] Denmark
  • [Chemical-registry-number] 0 / Photosensitizing Agents; 88755TAZ87 / Aminolevulinic Acid; U4VJ29L7BQ / Methoxsalen
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19. Sokołowska-Wojdyło M, Trzeciak M, Roszkiewicz J: 2-Chlorodeoxyadenosine treatment for cutaneous T-cell lymphoma. Dermatol Reports; 2010 Aug 31;2(2):e12
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] 2-Chlorodeoxyadenosine treatment for cutaneous T-cell lymphoma.
  • The primary cutaneous lymphomas are often indolent but difficult to treat.
  • In the early stages psoralen and ultraviolet-A therapy is the standard treatment whereas at the tumor stage chemotherapy (e.g. pegylated doxorubicin) is often used for debulking.
  • The purine analog 2-chlorodeoxyadenosine (2CdA) acts in non-Hodgkin's lymphoma and has been used in our center for the treatment of advanced primary cutaneous T-cell lyphomas (CTCL).

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  • (PMID = 25386249.001).
  • [ISSN] 2036-7392
  • [Journal-full-title] Dermatology reports
  • [ISO-abbreviation] Dermatol Reports
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
  • [Other-IDs] NLM/ PMC4211472
  • [Keywords] NOTNLM ; 2-chlorodeoxyadenosine (2CdA) / Sézary syndrome / cutaneous T-cell lymphoma / mycosis fungoides / side effect. / treatment
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20. Li N, Kim JH, Glusac EJ: Brainstem involvement by mycosis fungoides in a patient with large-cell transformation: a case report and review of literature. J Cutan Pathol; 2003 May;30(5):326-31
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Brainstem involvement by mycosis fungoides in a patient with large-cell transformation: a case report and review of literature.
  • BACKGROUND: Central nervous system (CNS) involvement by mycosis fungoides (MF) is rare.
  • RESULTS: A 71-year-old female with long-standing MF developed lymphomatous CNS involvement 10 years after the diagnosis of tumor stage MF.
  • At this time, the patient presented with a transient episode of garbled speech followed by generalized weakness.
  • Computerized tomography scan (CT scan) and magnetic resonance imaging scan (MRI scan) of the head revealed a subcortical lesion in the left temporo-frontal lobe.
  • Cerebrospinal fluid (CSF) examination showed atypical T cells, and brain biopsy confirmed parenchymal involvement by T-cell lymphoma.
  • Meanwhile, a biopsy of a skin lesion showed large-cell transformation.
  • No lymph node or other systemic involvement was noted at this time, and the patient was treated with chemotherapy.
  • Twelve months later, the patient developed recurrent CNS lymphoma with multiple organ involvement and expired soon thereafter.
  • [MeSH-major] Brain Neoplasms / pathology. Cell Transformation, Neoplastic / pathology. Lymphoma, Large-Cell, Anaplastic / pathology. Mycosis Fungoides / pathology. Neoplasms, Second Primary / pathology. Skin Neoplasms / pathology


21. Tsatalas C, Martinis G, Margaritis D, Spanoudakis E, Kotsianidis I, Karpouzis A, Bourikas G: Long-term remission of recalcitrant tumour-stage mycosis fungoides following chemotherapy with pegylated liposomal doxorubicin. J Eur Acad Dermatol Venereol; 2003 Jan;17(1):80-2
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Long-term remission of recalcitrant tumour-stage mycosis fungoides following chemotherapy with pegylated liposomal doxorubicin.
  • Advanced stage mycosis fungoides (MF) generally has a poor prognosis, and currently there is no standard treatment available.
  • Here we report the case of a young woman with recalcitrant tumour-stage MF (T3, stage IIb) whose disease was unresponsive to several therapeutic modalities, but who has showed sustained clinical response to pegylated liposomal doxorubucin.
  • The use of this drug in tumour-stage MF should be investigated further.
  • [MeSH-major] Antineoplastic Agents / therapeutic use. Doxorubicin / therapeutic use. Mycosis Fungoides / drug therapy. Skin Neoplasms / drug therapy

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  • (PMID = 12602979.001).
  • [ISSN] 0926-9959
  • [Journal-full-title] Journal of the European Academy of Dermatology and Venereology : JEADV
  • [ISO-abbreviation] J Eur Acad Dermatol Venereol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Netherlands
  • [Chemical-registry-number] 0 / Antineoplastic Agents; 0 / Liposomes; 80168379AG / Doxorubicin
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