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Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides
Mycosis fungoides is the most common primary cutaneous T-cell lymphoma, characterized by skin-homing CD4+ T cells derivation, indolent course, and low-grade of malignancy. Mycosis fungoides’s classic type typically onsets with cutaneous erythematous patches, plaque, and tumor. In WHO-EORTC classific...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957453/ https://www.ncbi.nlm.nih.gov/pubmed/36833148 http://dx.doi.org/10.3390/healthcare11040614 |
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author | Vitiello, Paola Sagnelli, Caterina Ronchi, Andrea Franco, Renato Caccavale, Stefano Mottola, Maria Pastore, Francesco Argenziano, Giuseppe Creta, Massimiliano Calogero, Armando Fiorelli, Alfonso Casale, Beniamino Sica, Antonello |
author_facet | Vitiello, Paola Sagnelli, Caterina Ronchi, Andrea Franco, Renato Caccavale, Stefano Mottola, Maria Pastore, Francesco Argenziano, Giuseppe Creta, Massimiliano Calogero, Armando Fiorelli, Alfonso Casale, Beniamino Sica, Antonello |
author_sort | Vitiello, Paola |
collection | PubMed |
description | Mycosis fungoides is the most common primary cutaneous T-cell lymphoma, characterized by skin-homing CD4+ T cells derivation, indolent course, and low-grade of malignancy. Mycosis fungoides’s classic type typically onsets with cutaneous erythematous patches, plaque, and tumor. In WHO-EORTC classification, folliculotropic mycosis fungoides, pagetoid reticulosis, and granulomatous slack skin are recognized as distinct variants of mycosis fungoides, because of their clinical and histological features, behavior, and /or prognosis. Mycosis fungoides often shows diagnostic difficulties, due to its absence of specific features and lesional polymorphism. A patient’s treatment requires staging. In about 10% of cases, mycosis fungoides can progress to lymph nodes and internal organs. Prognosis is poor at advanced stage and management needs a multidisciplinary team approach. Advanced stage disease including tumors, erythroderma, and nodal, visceral, or blood involvement needs skin directed therapy associated with systemic drugs. Skin directed therapy includes steroids, nitrogen mustard, bexarotene gel, phototherapy UVB, and photochemiotherapy, i.e., total skin electron radiotherapy. Systemic therapies include retinoids, bexarotene, interferon, histone deacetylase inhibitors, photopheresis, targeted immunotherapy, and cytotoxic chemotherapy. Complexity of mycosis fungoides associated with long-term chronic evolution and multiple therapy based on disease stage need a multidisciplinary team approach to be treated. |
format | Online Article Text |
id | pubmed-9957453 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99574532023-02-25 Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides Vitiello, Paola Sagnelli, Caterina Ronchi, Andrea Franco, Renato Caccavale, Stefano Mottola, Maria Pastore, Francesco Argenziano, Giuseppe Creta, Massimiliano Calogero, Armando Fiorelli, Alfonso Casale, Beniamino Sica, Antonello Healthcare (Basel) Review Mycosis fungoides is the most common primary cutaneous T-cell lymphoma, characterized by skin-homing CD4+ T cells derivation, indolent course, and low-grade of malignancy. Mycosis fungoides’s classic type typically onsets with cutaneous erythematous patches, plaque, and tumor. In WHO-EORTC classification, folliculotropic mycosis fungoides, pagetoid reticulosis, and granulomatous slack skin are recognized as distinct variants of mycosis fungoides, because of their clinical and histological features, behavior, and /or prognosis. Mycosis fungoides often shows diagnostic difficulties, due to its absence of specific features and lesional polymorphism. A patient’s treatment requires staging. In about 10% of cases, mycosis fungoides can progress to lymph nodes and internal organs. Prognosis is poor at advanced stage and management needs a multidisciplinary team approach. Advanced stage disease including tumors, erythroderma, and nodal, visceral, or blood involvement needs skin directed therapy associated with systemic drugs. Skin directed therapy includes steroids, nitrogen mustard, bexarotene gel, phototherapy UVB, and photochemiotherapy, i.e., total skin electron radiotherapy. Systemic therapies include retinoids, bexarotene, interferon, histone deacetylase inhibitors, photopheresis, targeted immunotherapy, and cytotoxic chemotherapy. Complexity of mycosis fungoides associated with long-term chronic evolution and multiple therapy based on disease stage need a multidisciplinary team approach to be treated. MDPI 2023-02-18 /pmc/articles/PMC9957453/ /pubmed/36833148 http://dx.doi.org/10.3390/healthcare11040614 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Vitiello, Paola Sagnelli, Caterina Ronchi, Andrea Franco, Renato Caccavale, Stefano Mottola, Maria Pastore, Francesco Argenziano, Giuseppe Creta, Massimiliano Calogero, Armando Fiorelli, Alfonso Casale, Beniamino Sica, Antonello Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides |
title | Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides |
title_full | Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides |
title_fullStr | Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides |
title_full_unstemmed | Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides |
title_short | Multidisciplinary Approach to the Diagnosis and Therapy of Mycosis Fungoides |
title_sort | multidisciplinary approach to the diagnosis and therapy of mycosis fungoides |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957453/ https://www.ncbi.nlm.nih.gov/pubmed/36833148 http://dx.doi.org/10.3390/healthcare11040614 |
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