Multicenter case series of indolent small/medium-sized CD8+ lymphoid proliferations with predilection for the ear and face Journal Article


Authors: Li, J. Y.; Guitart, J.; Pulitzer, M. P.; Subtil, A.; Sundram, U.; Kim, Y.; Deonizio, J.; Myskowski, P. L.; Moskowitz, A.; Horwitz, S.; Querfeld, C.
Article Title: Multicenter case series of indolent small/medium-sized CD8+ lymphoid proliferations with predilection for the ear and face
Abstract: We report 7 cases of a CD8 lymphoid proliferation of the ear and face with a cytotoxic T-cell phenotype, but an indolent clinical course. All patients presented with stable or slowly growing asymptomatic lesions on the ear, nose, or lower eyelid. Histopathology showed a dense diffuse dermal infiltrate of small- to medium-sized atypical lymphocytes without destructive features. The lymphocytes were positive for CD3, CD8, β-F1, and TIA-1 and negative for CD4, CD30, CD56, granzyme B, and PD-1. Of note, the proliferation index was low in available cases. All patients remained in complete remission at median follow-up of 14 months regardless of treatment modality. Staging was negative for extracutaneous disease in all patients. The clinically indolent behavior and histopathologic phenotype together with a low proliferation index (10%-15%) emphasize the importance of accurate diagnosis and appropriate clinical management to avoid overtreatment and complications of therapy. © 2014 Lippincott Williams & Wilkins.
Keywords: ear; face; indolent; cytotoxic granules; low proliferation index
Journal Title: American Journal of Dermatopathology
Volume: 36
Issue: 5
ISSN: 0193-1091
Publisher: Lippincott Williams & Wilkins  
Date Published: 2014-05-01
Start Page: 402
End Page: 408
Language: English
DOI: 10.1097/DAD.0b013e3182a74c7a
PROVIDER: scopus
PUBMED: 24394306
DOI/URL:
Notes: Am. J. Dermatopathol. -- Export Date: 2 June 2014 -- CODEN: AJDOD -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Melissa P Pulitzer
    203 Pulitzer
  2. Steven M Horwitz
    645 Horwitz
  3. Alison Moskowitz
    339 Moskowitz
  4. Patricia Myskowski
    216 Myskowski
  5. Janet Yiwen Li
    4 Li