Subcutaneous panniculitis-like T-cell lymphoma: a case report of a solved conundrum

Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare primary cutaneous lymphoma which often be very complexed to be diagnosed. Here we reported a case of a 38-year-old lady with wax and wane course of left facial swelling associated with prolonged pyrexia of unknown origin, lethargy and...

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Bibliographic Details
Main Authors: Jamali, Nabilah Rashida, Chi Adam, Khairul Bariah, Burhanudin, Nor Aszlitah, Harun, Nor Adilah, Hamdan, Asmah Hanim
Format: Article
Language:English
English
English
Published: IIUM Press, International Islamic University Malaysia 2024
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Online Access:http://irep.iium.edu.my/106701/31/106701_Subcutaneous%20panniculitis-like%20T-cell%20lymphoma.pdf
http://irep.iium.edu.my/106701/32/106701_Subcutaneous%20panniculitis-like%20T-cell%20lymphoma_acceptance%20letter.pdf
http://irep.iium.edu.my/106701/42/106701_Subcutaneous%20Panniculitis-like%20T-cell%20Lymphoma_%20A%20Case%20Report%20of%20A%20Solved%20Conundrum_SCOPUS.pdf
http://irep.iium.edu.my/106701/
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Summary:Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare primary cutaneous lymphoma which often be very complexed to be diagnosed. Here we reported a case of a 38-year-old lady with wax and wane course of left facial swelling associated with prolonged pyrexia of unknown origin, lethargy and prominent weight loss. Multiple investigations were conducted to reach to the conclusive diagnosis. Histopathological showed infiltration of neoplastic lymphoid cells within the adipocyte clusters with hyperchromatic nuclei, small nucleoli and scant cytoplasm. Immunohistochemical analysis were immunoreactive to CD3, CD8 & TIA and negative to CD20, CD4 & CD56. Based on clinical findings, histopathology report and immunohistochemical analysis, the patient diagnosed with SPTCL. Hence, any suspicious maxillofacial swelling without obvious sign of infection and trauma shall be investigated until a final diagnosis is reached.