Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Oncological Medicine
Volume 2011, Article ID 639240, 4 pages
http://dx.doi.org/10.1155/2011/639240
Case Report

Subcutaneous Panniculitis-Like T-Cell Lymphoma (SPTL) in a Child with Spontaneous Resolution

1Department of Pathology, Complexo Hospitalar Universitário Prof. Edgard Santos, Federal University of Bahia, Salvador, BA, Brazil
2Oncology Department, Pediatric Hospital Martagão Gesteira, Liga Baiana Contra a Mortalidade Infantil, Salvador, BA, Brazil

Received 28 July 2011; Accepted 12 September 2011

Academic Editors: T. Arkenau, M. W. Bekkenk, and M. Mosunjac

Copyright © 2011 Achiléa L. Bittencourt et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Subcutaneous panniculitis-like T-cell lymphomas (SPTLs) α/β are rare in childhood. The present report refers to a case of a 7-year-old male child presenting an extensive skin lesion that began when he was 5 years of age. Two biopsies were evaluated using the CD3, CD4, CD8, CD56, 𝛽 F1, and TIA markers. A dense infiltrate of CD3+, CD4−, CD8+, CD56−, 𝛽 F1+, and TIA+ pleomorphic lymphocytes was found in the subcutis. The previous biopsy showed cytophagic histiocytic panniculitis with a small focus on CD8+ and 𝛽 F1+ malignant cells. The lesion regressed spontaneously. This case shows that prognosis may be excellent in SPTL (α/β). On the other hand, it also serves as an alert that a biopsy performed in an area of cytophagic panniculitis may lead to misdiagnosis.