Mycosis fungoides laboratory findings

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Cutaneous T cell lymphoma Microchapters

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Patient Information

Overview

Classification

Mycosis fungoides
Sezary syndrome

Pathophysiology

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2]

Overview

Laboratory tests for cutaneous T cell lymphoma include complete blood count (CBC), blood chemistry studies, flow cytometry, immunohistochemistry, and immunophenotyping.

Laboratory Tests

Laboratory tests for cutaneous T cell lymphoma include:[1]

  • Atypical T-cells (Sezary cells)
  • Allogeneic hematopoietic stem cell transplantation (allo-HSCT) demonstrated progressive disease had undergone.
  • Blood chemistry studies
  • High level lactate dehydrogenase (LDH)in andvanced disease stage patients
  • Biopsy of skin ( multiple biopsies)
    • A rare evaluated finding observed mono nuclear cells aggrigation by cerebriform nuclei in the epidermis surrounding Langerhans cells.
    • Atypical lymphocytes observed in the epidermis or superficial dermis.
  • Lymph node biopsies is recommended.
  • complete metabolic panel
  • Flow cytometry
  • Immunohistochemistry
  • Immunophenotyping: Beta F1+, CD2-/+, CD3+, CD3- (CD4-positive variant), CD4+ (CD4-positive variant), CD4-, CD5-, CD7+/-, CD8+, CD8- (CD4-positive variant), Granzyme B+, and Perforin+
  • Loss of CD26 and CD7 expression

References

  1. Vural, Seçil; Akay, Bengü Nisa; Botsali, Ayşenur; Atilla, Erden; Parlak, Nehir; Okcu Heper, Aylin; Şanlı, Hatice (2018). "Transformation of Mycosis Fungoides/Sezary Syndrome: Clinical Characteristics and Prognosis". Turkish Journal of Hematology. 35 (1): 35–41. doi:10.4274/tjh.2016.0502. ISSN 1300-7777.


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