Oral involvement in mycosis fungoides: report of two cases and a literature review

Acta Derm Venereol. 2000 Jul-Aug;80(4):299-301. doi: 10.1080/000155500750012234.

Abstract

Oral involvement is uncommon in cutaneous T-cell lymphomas and usually associated with poor prognosis. The clinicopathological and immunohistochemical findings of 2 new cases are described along with a literature review. The first patient had a 10-year history of mycosis fungoides when she developed lesions in the oral tissues. She died 6 months later despite treatment. The immunophenotype was CD3+, CD4+, CD8-, CD30-. The second patient had a mycosis fungoides for 5 years when she developed lesions in the uvula and oropharynx. She was treated with polychemotherapy and she is alive 5 years after oral involvement. The immunophenotype was CD3+, CD4-, CD8+, CD30-. There are conflicting reports about the prognosis in the CD8+ phenotype. The present cases and the literature review seem to indicate that in oral involvement the CD8- phenotype is not associated with a worse prognosis than the CD4+ subtype. However, it is necessary to study new cases to confirm this statement.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • CD4 Antigens / analysis
  • CD8 Antigens / analysis
  • Female
  • Humans
  • Middle Aged
  • Mouth Neoplasms / pathology
  • Mouth Neoplasms / secondary*
  • Mycosis Fungoides / pathology*
  • Oropharyngeal Neoplasms / secondary
  • Skin Neoplasms / pathology*
  • Tongue Neoplasms / secondary
  • Uvula

Substances

  • CD4 Antigens
  • CD8 Antigens