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ORIGINAL ARTICLE Angioinvasive Lymphomatoid Papulosis A New Variant Simulating Aggressive Lymphomas Werner Kempf, MD,*w Dmitry V. Kazakov, MD, PhD,z Leo Scha¨rer, MD,y Arno Rutten, MD,y Thomas Mentzel, MD,y Bruno E. Paredes, MD,y Gabriele Palmedo, PhD,y Renato G. Panizzon, MD,8 and Heinz Kutzner, MDy LyP types (A, B, C, and D) have been identified. Type A Abstract: Lymphomatoid papulosis (LyP) belongs to the spectrum is characterized by the presence of large pleomorphic or of primary cutaneous CD30-positive lymphoproliferative dis- anaplastic CD30 T cells scattered or in small clusters orders. Clinically, LyP is characterized by a variable number of within the background of eosinophilic and neutrophilic self-healing papulo-nodular lesions, with the typical waxing and granulocytes, histiocytes, and small lymphocytes. Type B waning course. Histologically, 4 types (A, B, C, and D) have been shows epidermotropic infiltrates of small-sized to me- delineated. Angioinvasive growth and large ulcers are rare findings dium-sized lymphoid cells, with variable extent of CD30 in LyP and simulate aggressive lymphoma. We retrospectively expression. In type C, a nodular dense infiltrate of cohe- analyzed the clinicopathologic and molecular features of an- sive sheets of pleomorphic or anaplastic CD30 cells is gioinvasive LyP in a series of 16 patients. This
American Journal of Surgical Pathology – Wolters Kluwer Health
Published: Jan 1, 2013
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