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Journal of Skin Cancer
Volume 2014, Article ID 624143, 4 pages
http://dx.doi.org/10.1155/2014/624143
Clinical Study

The Influence of the Coexpression of CD4 and CD8 in Cutaneous Lesions on Prognosis of Mycosis Fungoides: A Preliminary Study

1Institute of Dermatology and Venereology, University of Trieste, Ospedale Maggiore, Piazza Ospedale 1, 34100 Trieste, Italy
2Institute of Dermatology, Department of Experimental and Clinical Medicine, University of Udine, Ospedale San Michele, Piazza Rodolone 1, 33013 Gemona del Friuli, Italy

Received 5 May 2014; Revised 29 June 2014; Accepted 13 July 2014; Published 20 July 2014

Academic Editor: Iris Zalaudek

Copyright © 2014 Sergio Umberto De Marchi 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

Background. Although techniques of immunophenotyping have been successful in characterizing the cells in the cutaneous infiltrates of mycosis fungoides little evidence suggests that variations in the phenotypic characterization correlate with prognosis. Objectives. In a preliminary prospective, single-centre, study we correlated the T-cell phenotype in cutaneous biopsies with the progression of the disease to determine whether the coexpression of CD4 and CD8 has an impact on prognosis. Methods. Skin biopsy specimens from 30 newly diagnosed patients were stained with immunoperoxidase techniques to determine their phenotypic characteristics. After a median followup of 42 months patients were divided into two groups with stable and progressive disease. Results. Eighteen patients had the conventional CD4+CD8− T-cell phenotype. Ten patients showed the coexpression of CD4 and CD8 and had a slightly lower rate of progressive disease. Conclusions. The coexpression of CD4 and CD8 in cutaneous lesions is not rare and is associated with a slightly lower rate of progressive disease. Since double positive CD4/CD8 phenotype is rarely reported in mycosis fungoides the presence on conventional immunophenotyping of both CD may be due to a “mixture” of neoplastic cells and inflammatory CD8+ tumor infiltrating lymphocytes. Immunohistochemical study combined with confocal microscopy could clarify this issue.