Document Detail


A principal case of multiple lymphoid collision tumors involving both B-cell chronic lymphocytic leukemia and metastatic malignant melanoma.
MedLine Citation:
PMID:  20673534     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
B-cell chronic lymphocytic leukemia/small lymphocytic B-cell lymphoma (CLL/B-SLL) is a neoplasm of B-cell lymphocytes that occurs frequently in the older population as an asymptomatic elevation of the white blood cell count (WBC) and has a good overall prognosis. Malignant melanoma of the skin is a neoplasm derived from cutaneous melanocytes that frequently arises among the elderly and, depending on certain histopathologic features, may metastasize loco-regionally or distally. However, only one report describes synchronous presentation of these two malignancies within the same lymph node. In this report, we present the unique case of an 87-year-old male with a presumed history of indolent CLL/B-SLL, in which metastatic malignant melanoma and CLL/B-SLL both involved 112 of 145 dissected regional lymph nodes. Possible explanations regarding the mechanisms that can lead to this rare presentation of both CLL/B-SLL and melanoma in the same lymph nodes are discussed.
Authors:
Aaron S Cantor; Stergios Moschos; Drazen M Jukic
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-15
Journal Detail:
Title:  Dermatology online journal     Volume:  16     ISSN:  1087-2108     ISO Abbreviation:  Dermatol. Online J.     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610776     Medline TA:  Dermatol Online J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  6     Citation Subset:  IM    
Affiliation:
Department of Dermatology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Antigens, CD20 / analysis
Antigens, CD79 / analysis
Fatal Outcome
Humans
Leukemia, Lymphocytic, Chronic, B-Cell / complications,  diagnosis*,  pathology
Lymph Nodes / pathology
Male
Melanoma / complications,  diagnosis*,  pathology
Multiple Organ Failure / diagnosis,  etiology,  pathology
Neoplasms, Multiple Primary / complications,  diagnosis*,  pathology
Receptors, IgE / analysis
Skin Neoplasms / complications,  diagnosis*,  pathology
Chemical
Reg. No./Substance:
0/Antigens, CD20; 0/Antigens, CD79; 0/Receptors, IgE

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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