Unexpected Diagnosis in a Cutaneous Tumoral Lesion: Primary Cutaneous Leg-Type B-Cell Lymphoma. (PubMed, Cureus)
Despite multiple lines of systemic therapy, including R-CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone combined with rituximab), methotrexate, gemcitabine, platinum-based chemotherapy, and autologous stem cell transplant, the disease progressed, ultimately leading to the patient's death. This case highlights an atypical clinical presentation of PCDLBCL-LT in a young male, initially mimicking T-cell lymphoma. The diagnostic evolution underscores the importance of repeated biopsies and immunohistochemical reevaluation in persistent or atypical cutaneous lymphoproliferative disorders. It also raises awareness of CD20-negative variants and potential coexistence with T-cell lymphomas such as mycosis fungoides.