Primary cutaneous follicular helper T-cell lymphoma

J Cutan Pathol. 2016 Feb;43(2):164-70. doi: 10.1111/cup.12614. Epub 2015 Sep 18.

Abstract

Follicular helper T-cells (TFH) represent a specific subset of CD4-positive helper T-cells that help B-cells to differentiate into long-lived antibody-secreting plasma cells or memory B-cells. The expression of TFH markers in neoplastic T-cells, traditionally related to the angioimmunoblastic (AITL) subgroup of peripheral T-cell lymphomas, is nowadays well-known to be more widespread than previously thought. We report hereby a case of cutaneous T-cell lymphoma in a 75-year-old woman, whose morphological and immunophenotypical features raises the differential diagnosis between cutaneous involvement by AITL and the recently described primary cutaneous T-cell lymphoma with follicular helper-phenotype.

Keywords: PD-1; cutaneous; helper T-cells; lymphomas; skin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Humans
  • Lymphoma, Follicular* / immunology
  • Lymphoma, Follicular* / metabolism
  • Lymphoma, Follicular* / pathology
  • Lymphoma, T-Cell, Cutaneous* / immunology
  • Lymphoma, T-Cell, Cutaneous* / metabolism
  • Lymphoma, T-Cell, Cutaneous* / pathology
  • Lymphoma, T-Cell, Peripheral* / immunology
  • Lymphoma, T-Cell, Peripheral* / metabolism
  • Lymphoma, T-Cell, Peripheral* / pathology
  • Skin Neoplasms* / immunology
  • Skin Neoplasms* / metabolism
  • Skin Neoplasms* / pathology
  • T-Lymphocytes, Regulatory* / immunology
  • T-Lymphocytes, Regulatory* / metabolism
  • T-Lymphocytes, Regulatory* / pathology