Cutaneous T-Cell Lymphoma: Establishing a Diagnosis in a Patient with a Dramatic Tumor

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Mycosis fungoides is the most common subset of cutaneous T-cell lymphoma. We discuss a rare case of advanced mycosis fungoides that presented as a dramatic tumoral stage lymphoma.


Early lesions can often mimic other dermatologic conditions and while the patient was unable to provide a history on early lesions initial diagnosis and mis-treatment for psoriasis may have contributed to a late presentation. In attempting to confirm our suspected diagnosis multiple biopsies and immune histo chemical analysis were required to reach a verdict. This paper emphasizes the importance of compiling a comprehensive picture and the need for persistence when there is inconclusive evidence to establish a diagnosis of mycosis fungoides.

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