Case 4 F, 70 ys, lower leg Erythematous patch Clinical suspicious: pemphigoid? Patient followed by Department of Oncology
Punch biopsy
CD20
CD3
CD79a
CD5
CD23
CD43
Mib-1
Further clinical information History of B-CLL FINAL DIAGNOSIS FINAL DIAGNOSIS Cutaneous localization of B-CLL Cutaneous localization of B-CLL CD20+; CD79a+; CD5+; CD23+; CD43+; CD3-. CD20+; CD79a+; CD5+; CD23+; CD43+; CD3-.
Follow-up: spontaneous resolution of the lesion (Kazakov D et al. Dermatology 2003; 207: ) H&E: monomorphous lymphocytes, small size but with hyperchromatic nuclei Immunohistochemistry: large panel r/o Mantle Cell Lymphoma (cyclin D1-; low Mib-1) r/o Mantle Cell Lymphoma (cyclin D1-; low Mib-1) Clinical information: not given, at least directly!