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At least 19 recordsLinked to original sources
PubMed1977

Morphological and functional differentiation and classification of cutaneous lymphomas.

It was the purpose of our studies to achieve reevaluation of the histo- and cytomorphology of cutaneous lymphomas by means of additional enzymecyto-chemical and funtional tests. Skin biopsy specimens from 99 patients with cutaneous lymphomas and pseudolymphomas were stained for HE, Giemsa, PAS, Gormori, several hydrolytic enzymes and peroxidase. In cell suspensions extracted from skin lesions B and T cell differentiation was performed using surface markers. In addition tissue cells were tested for PHA response in suspensions and for intracytoplasmatic Ig on smears. Based on these studies cutaneous lymphomas were filed, within the "Kiel" classification of low grade and high grade malignant lymphomas according to their histological, enzymecytochemical and immunological features. It got evident that B cell and T cell lymphomas of low grade malignancy in the skin both present distinct histological patterns, indicating areas B and T cell microenvironmental specificity.

B-Lymphocytes↗
PubMed1977

[Photochemotherapy of cutaneous lymphoma: oral and local 8-MOP-UVA treatment (author's transl)].

8-Methoxypsoralen (8-MOP) and long-wave ultra-violet light (UVA) were administered to 16 patients with mycosis fungoides and to three with other cutaneous lymphomas. Total body clearing was achieved in eleven patients, while temporary recurrences were observed in three, maintenance treatment arresting the recurrences. In the others all treatment failed. Histological and enzyme-cytochemical studies indicate that the histological features under 8-MOP-UVA treatment correspond to those induced by other forms of treatment: a lose enzyme-cytochemically negative lymphocytoid infiltrate remaining around blood vessels, after regression of the skin disease. Oral 8-MOV-UVA treatment (12 patients) proved superior to topical treatment (seven patients), because cutaneous lymphoma is a systemic disease. In mycosis fungoides the mean number of exposures causing clearance of skin lesions and the mean UVA dose (single treatment) were generally less than those for psoriasis vulgaris.

Aged↗
PubMed1978

Patterns of cutaneous lymphomas. Histological, enzyme cytochemical, and immunological typing of lymphoreticular proliferations in the skin.

During recent years there has been much progress in interpreting the histo- and cytomorphology of lymphoreticular proliferations by means of enzyme cytochemical (cell typing by hydrolytic enzymes) and immunological (B- and T-cell differentiation using surface markers and functional tests) methods. Applying these methods in skin biopsies from 101 patients clinically suspected of having cutaneous lymphomas, patterns of lymphoreticular infiltrations in the skin have been elaborated. Based primarily on the 'Kiel' classification, low-grade and high-grade malignant lymphomas, pseudolymphomas and 'histiocytic lymphomas' can be differentiated in the skin; however, there still remain some hitherto unclassifiable lymphoreticular proliferations. In the low-grade malignant lymphomas of the skin, mycosis fungoides, Sézary's syndrome and Pagetoid reticulosis histologically display a pattern which is typical for T-cell infiltrations in the skin, whereas most of the 'malignant reticuloses', including immunocytoma, show a B-cell pattern. Erythrocyte antibody complement rosette fixation on cryostat sections is positive only in cutaneous pseudolymphomas whereas no fixation is seen in malignant B-cell lymphomas of the skin.

B-Lymphocytes↗
PubMed1978

[Enzyme cytochemical studies of malignant cutaneous lymphomas using simple smear preparations].

Cyto-morphological and enzyme-cytochemical investigations were carried out in five patients with lymphoreticular proliferations in the skin, using a simple smear technique. As purely morphological criteria allow only a limited differentiation of the infiltrate cells in the smears, enzyme-cytochemical methods were applied for further identification (detection of hydrolytic enzymes). With this new technique, the single cells are not damaged and keep their cell structure, so that the exact localisation of the enzyme activity is possible. Our investigations demonstrate the change of the cellular infiltration in the cutaneous smear during the clinical course of mycosis fungoides. In the premycotic stage, enzyme cytochemically positive monocytes and enzyme cytochemically negative lymphocytes with small nuclei are prevalent. In the infiltrative and tumor stages the cellular picture is dominated by polymorphonuclear lymphocytoid cells with medium sized nuclei, these cells contain ample amounts of esterases and acid phosphatase. In contrast to these findings, other lymphomas investigated by us are characterized by the lack of monocytes and an abundance of lymphocytes, which according to the stage of differentiation present a different pattern of the alpha-naphthylacetate-esterase and the acid phosphatase.

Adult↗
PubMed1979

Cutaneous lymphoma in an infant: case report.

A case of lymphoma in an infant in whom the skin was the only apparent organ involved is reported. Response to combination chemotherapy was excellent and no recurrence has been observed in the 13 months since diagnosis.

Antineoplastic Agents↗
PubMed1979

Cutaneous lymphoma masquerading as granuloma faciale.

Granuloma faciale is a presumably benign disorder of the skin--usually of the face--characterized by a dense, polymorphous, inflammatory infiltrate including numerous eosinophils, separated from the epidermis by a clear or "grenz" zone, and possessing a small vessel, leukocytoclastic vasculitis. Primary malignant lymphoma of the skin, other than mycosis fungoides, is an unusual entity that may follow a widely variable course and is often extremely difficult to diagnose definitively. A patient is presented in whom a lesion consistent with granuloma faciale changed its histological appearance and clinical behavior into that of a malignant lymphoma.

Face↗
PubMedDate not supplied

[IgE and cellular immunity in cutaneous lymphomas (author's transl)].

Serum IgE levels were measured (radioactive radial diffusion or radioimmuno assay) in 21 patients (14 mycosis fungoides or premycosis fungoides and 7 other lymphomas) and 1,019 controls. Elevated IgE levels (greater than or equal to 500 UI/ml) were found in 57 p. 100 of patients and 8,1 p. 100 of controls. The most important increase was noted in mycosis fungoides. Moreover, some of these patients showed a cellular immunity impairment: negative delayed skin tests, low percentage of T-lymphocytes forming E rosettes (2 out of 4 patients), decreased mitogenic response to Con A and P.H.A. In one patient with Sézary syndrome there was a dissociation between E and E active rosettes (low values) and anti H.T.L.A. serum (high values). This result could indicate that the Sézary cell is a poorly differentiated T-lymphocyte.

Adult↗
PubMed1979

[Malignant cutaneous lymphoma. Histology and clinical aspects with special reference to plastic-embedded tissue specimens].

The basis of this paper is the terminology of Non-Hodgkin's lymphomas based on Gerard-Marchant, Hamlin, Lennert and others, and known as the "Kiel Classification". We have come to the opinion through histological studies of 70 malignant skin lymphomas, that this concept can also be used for malignant lymphoreticular proliferations of the skin, especially since advances in cell differentiation have shown lymphatic origin of different skin tumors.

Aged↗
PubMed1978

[Immunocytological study of cutaneous malignant lymphomas. Classification (author's transl)].

The malignant cutaneous lymphomas come into the category of hematodermias but can equally be considered as an abnormality of the immune system. Having described the methods used in the immunocytological investigation of 21 lymphomas and 3 pseudolymphomas, the authors expound their classification of malignant cutaneous lymphomas before stating the results obtained in immunocytological studies in each of the groups. They show how formal separation between epidermtropic malignant cutaneous lymphomas and non-epidermotropic malignant cutaneous lymphomas can be confirmed by immunocytological and ultrastructural facts.

B-Lymphocytes↗
PubMed1978

[Pathogneses of cutaneous malignant lymphoma].

In 1974 we suggested a schedule of the pathogenesis of CML. CML was described as a variant of the cutaneous lymphadenoid infiltrate (Fig. 2). Four years later, the schedule still appears to be valid, even to explain the three types of pseudolymphoma (Table 3). Recent findings concering. Burkitt's lymphoma and Mycosis fungoides fit in well with the proposed schedule. In studying CML recognition of the malignant lymphomatous cell is most important. Progress in immunology should make it possible to destroy these malignant cells by immunological measures since the cells belong to one clone.

B-Lymphocytes↗
PubMed1978

[Immunological characterization of malignant epidermotropic lymphoma cells in cutaneous infiltrates (author's transl)].

Immunological characterization of cells in the malignant epidermotropic lymphomas requires techniques which define the lymphocytic nature of the cells, and for the lymphocytes techniques which demonstrate subpopulations of T or B cells. The results obtained using such methods in patients with cutaneous lymphomas are reported. The predominantly thymodependent nature of the cells of epidermotropic lymphomas is confirmed and the existence of a thymodependent non-epidermotropic cutaneous lymphoma is demonstrated.

B-Lymphocytes↗
PubMed1979

Antithymocyte globulin in the management of cutaneous T cell lymphoma.

Four patients with cutaneous T cell lymphoma were treated with iv administered horse antithymocyte globulin. Evidence of a beneficial response was obtained in three of the four patients. Limited sensitivity of neoplastic T cells to complement-mediated lysis in the presence of the antithymocyte globulin was identified, suggesting that other mechanisms may be responsible for the observed clinical responses.

Aged↗
PubMed1976

Macrophage inhibitor factor (MIF) in cutaneous lymphoproliferative diseases.

Macrophage migration inhibitor factor (MIF) activity in the sera of patients with mycosis fungoides, Sézary syndrome, and cutaneous lymphoma was observed in the sera of eight of the ten patients with stage II (infiltrative) mycosis fungoides, but in only one of the eight patients with stage I and in neither of the two patients with stage III mycosis fungoides. Two of the three patients with Sézary syndrome had MIF in the serum. No MIF was observed in cutaneous lymphoma. These data support the concept that Sézary syndrome and mycosis fungoides are T-cell diseases, and transitional, prelymphomatous diseases.

Cell Migration Inhibition↗