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Autumn 2003, Vol. 11 No. 3

H.K. Dermatol. Venereol. Bull. (2003) 11, 150-153


Case Report

An elderly man with multiple indolent nodules: primary cutaneous large B-cell lymphoma

MH Ho 何文翰

Abstract
Primary cutaneous large B-cell lymphoma of the leg characteristically affects elderly,with female predominance.It presents as indolent tumour nodules on one or both lower limbs.The prognosis is worse comparing with other primary cutaneous B-cell lymphoma.Complete staging including bone marrow trephine biopsy and various imaging techniques are mandatory to distinguish primary and secondary cutaneous lymphoma. This is a report of an 83-year-old man presenting with typical features, clinically and histologically,compatible with diffuse large B-cell lymphoma of the leg. Primary or secondary could not be distinguished since full staging was not performed in this patient who had a recent haemorrhagic stroke.Palliative radiotherapy is planned by the oncologist because of poor general condition.