Table 1.
The onset of symptoms (months) | Subcutaneous lesions | Other lesions | Systemic symptoms | HLH | EBV infection | Histopathological characteristics | Immunophenotype | TCR gene rearrangement | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Location | Diameter | Infiltration range | Infiltration cell | Types | IHC | Level of Ki‐67 | ||||||
6 | Single lesion: left clavicle | 1cm | Enlarged lymph nodes of the groin | None | No | No | NA | NA | NA | NA | NA | NA |
12 | Single lesion: left clavicle | 6cm | Enlarged lymph nodes in the head of the pancreas | None | No | No | Dermis and subcutaneous tissue | Lymphocytes and histocytes | Inflammation | CD1α (-), CD34 (+), CD45 (+), CD68 (+) | 5% | NA |
18 | Multiple lesions: right thigh and left hip | 3-5cm | Enlarged lymph nodes of the neck, underarms, mediastinum, and groin | Fever | No | No | Epidermis, dermis and subcutaneous fatty tissue | Heterotypic lymphocytes, histocytes and karyokinesis | Panniculitis-like | CD20 (-), CD3 (+), CD5 (+), CD7 (+), CD4 (-), CD8 (+), TIA (+), GB (+/-), CD56 (-), EBER (-) | 40-50% | NA |
22 | Single lesion: right shoulder | 2cm | Enlarged lymph nodes of the neck, underarms, mediastinum, and groin | None | No | No | Dermis and subcutaneous fatty tissue | Heterotypic lymphocytes, histocytes, karyokinesis and karyorrhexis | Panniculitis-like | CD20 (-), CD3 (+), CD5 (+), CD7 (+), CD4 (+/-), CD8 (+), TIA (+/-), GB (+/-), Perforin (+/-), CD56 (-), EBER (-) | 20% | Clonal TCR-Beta gene rearrangements |
EBV, Epstein-Barr virus; HLH, hemophagocytic lymphohistiocytosis; SPTCL, subcutaneous panniculitis-like T-cell lymphoma.