Hong Kong Dermatology & Venereology Bulletin

Volume 11 Number 3, Autumn 2003

An elderly man with multiple indolent nodules: primary cutaneous large B-cell lymphoma
老年男性患者多發性無痛結節:皮膚 大 B 細胞性淋巴瘤

MH Ho 何文翰

Primary cutaneous large B-cell lymphoma of the leg characteristically affects elderly,with female predominance.It presents as indolent tumour nodules on one or both lower limbs.The prognosis is worse comparing with other primary cutaneous B-cell lymphoma.Complete staging including bone marrow trephine biopsy and various imaging techniques are mandatory to distinguish primary and secondary cutaneous lymphoma.This is a report of an 83-year-old man presenting with typical features,clinically and histologically,compatible with diffuse large B-cell lymphoma of the leg. Primary or secondary could not be distinguished since full staging was not performed in this patient who had a recent haemorrhagic stroke.Palliative radiotherapy is planned by the oncologist because of poor general condition. (H.K. Dermatol. Venereol. Bull. (2003) 11, 150-153)

腿部原發性皮膚 大 B 細胞性淋巴瘤患者多為老年人,女性較多。首發表現為一側或雙側下肢無痛結節。與其他原發性皮 膚 B 細胞性淋巴瘤相比,預後較差。全面的分期檢查包括骨髓環鑽活檢。須有多種影像學檢查才能區分原發抑或繼發性淋巴瘤,此例患者男,83 歲,臨床及組織學表現為大 B 細胞性淋巴瘤。由於患有新近中風,故未能接受全面的分期檢查,以確定為原發抑或繼發性淋巴瘤 。 由於患者基本狀較差,腫瘤科醫生計畫採用姑息性放射治療。

Keywords : cutaneous large B-cell lymphoma of the leg,elderly,indolent

關鍵詞:腿部皮膚 大 B 細胞性淋巴瘤,老年人,無痛

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