2017, Number 3
Atypical variants of mycosis fungoides: retrospective cohort study of 15 years
Martínez-Piva MM, Zambrano-Franco EA, Kowalczuk AM, Enz PA
Language: Spanish
References: 10
Page: 185-190
PDF size: 335.70 Kb.
ABSTRACT
Introduction: Atypical variants of mycosis fungoides have a wide spectrum of clinical manifestations, so the diagnosis may be difficult, but its evolution and prognosis is similar to classic mycosis fungoides. Objectives: To describe the epidemiology, prevalence, stages of diagnosis, main laboratory findings, and therapeutic response of the main atypical variants of mycosis fungoides. Material and methods: We evaluated the clinical records of 16 patients treated at our institution between January 1, 2000 and December 31, 2015, who had an atypical variant of mycosis fungoides. Results: Of 73 patients with mycosis fungoides, 25.4% belonged to atypical variants. The most frequent variant was poikilodermic (37.5%), then erythrodermic (31.3%), third hypopigmented (18.8%). 62.5% were diagnosed in the early stages and 68.75% had a complete response. Conclusions: Regarding the objectives, we found differences with what was published in the literature. We observed that patients with early stages of mycosis fungoides had a higher rate of complete response than those with late stages, regardless of the mycosis fungoid variant.REFERENCES
Olsen EA, Whittaker S, Kim YH, Duvic M, Prince HM, Lessin SR et al. Clinical end points and response criteria in mycosis fungoides and Sezary syndrome: a consensus statement of the International Society for Cutaneous Lymphomas, the United States Cutaneous Lymphoma Consortium, and the Cutaneous Lymphoma Task Force of the European Organisation for Research and Treatment of Cancer. J Clin Oncol. 2011; 29: 2598-2607.