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Travassos DC, Silveira HA, Silva EV, Panucci BZM, da Silva Filho NC, Silva PVR, Bufalino A, León JE. Primary cutaneous CD8+ cytotoxic T-cell lymphoma of the face with intraoral involvement, presenting facial nerve palsy after chemotherapy. J Cutan Pathol 2022; 49:560-564. [PMID: 35001425 DOI: 10.1111/cup.14199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 01/05/2022] [Accepted: 01/07/2022] [Indexed: 12/01/2022]
Abstract
The primary cutaneous (PC) CD8+ T-cell lymphoproliferative disorders (LPDs) comprise clinically and histologically heterogeneous entities including mycosis fungoides, lymphomatoid papulosis, hydroa-vacciniforme-like LPD, subcutaneous panniculitis-like T-cell lymphoma (TCL), PC acral CD8+ TCL, PC CD8+ aggressive epidermotropic cytotoxic TCL, and PC peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS). We describe a 33-year-old man who presented progressive facial swelling and lower lip involvement one year ago. Microscopy revealed an atypical small to medium-sized lymphoid proliferation exhibiting perivascular accentuation, adnexotropism and apoptotic cell debris, without surface epithelium involvement. The tumor cells were positive for CD3, CD8, granzyme B, perforin, MUM1/IRF4, and TCR-BF1. The Ki-67 labeling index was 48%. EBER1/2 was negative. Additional studies confirmed localized disease. The diagnosis favored PC-PTCL-NOS. Two months after completing chemotherapy, right-sided facial nerve palsy was diagnosed. CD8+ T-cell LPDs should be considered in the differential diagnosis when assessing facial swelling with intraoral involvement. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Daphine Caxias Travassos
- Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (Unesp), Araraquara, São Paulo, Brazil
| | - Heitor Albergoni Silveira
- Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (Unesp), Araraquara, São Paulo, Brazil.,Oral Pathology, Department of Stomatology, Public Oral Health, and Forensic Dentistry; Ribeirão Preto Dental School (FORP/USP); University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Evânio Vilela Silva
- Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (Unesp), Araraquara, São Paulo, Brazil.,Oral Pathology, Department of Stomatology, Public Oral Health, and Forensic Dentistry; Ribeirão Preto Dental School (FORP/USP); University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Beatriz Zamboni Martins Panucci
- Oral Pathology, Department of Stomatology, Public Oral Health, and Forensic Dentistry; Ribeirão Preto Dental School (FORP/USP); University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Nilson Coelho da Silva Filho
- Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (Unesp), Araraquara, São Paulo, Brazil
| | - Paula Verona Ragusa Silva
- Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (Unesp), Araraquara, São Paulo, Brazil
| | - Andreia Bufalino
- Oral Medicine, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University (Unesp), Araraquara, São Paulo, Brazil
| | - Jorge Esquiche León
- Oral Pathology, Department of Stomatology, Public Oral Health, and Forensic Dentistry; Ribeirão Preto Dental School (FORP/USP); University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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