Central nervous system relapse of primary cutaneous anaplastic large cell lymphoma: A case report

Abstract Primary cutaneous anaplastic large cell lymphoma (PC‐ALCL) has a high relapse rate. However, it typically remains confined to the skin and has a favorable long‐term prognosis. We describe a case of PC‐ALCL that experienced a relapse in the central nervous system (CNS). The patient presented...

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Main Authors: Satoshi Mitsuyuki, Sayaka Okazaki, Satoru Mukai, Ai Matsuura, Yumiko Yasuhara, Aya Tanaka, Koichi Oshima, Kazuo Hatanaka
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:eJHaem
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Online Access:https://doi.org/10.1002/jha2.1082
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author Satoshi Mitsuyuki
Sayaka Okazaki
Satoru Mukai
Ai Matsuura
Yumiko Yasuhara
Aya Tanaka
Koichi Oshima
Kazuo Hatanaka
author_facet Satoshi Mitsuyuki
Sayaka Okazaki
Satoru Mukai
Ai Matsuura
Yumiko Yasuhara
Aya Tanaka
Koichi Oshima
Kazuo Hatanaka
author_sort Satoshi Mitsuyuki
collection DOAJ
description Abstract Primary cutaneous anaplastic large cell lymphoma (PC‐ALCL) has a high relapse rate. However, it typically remains confined to the skin and has a favorable long‐term prognosis. We describe a case of PC‐ALCL that experienced a relapse in the central nervous system (CNS). The patient presented with somatosensory abnormalities in the extremities after local treatment of skin lesions and was diagnosed with CNS relapse of PC‐ALCL. Methotrexate, procarbazine, and vincristine therapy, and alternating brentuximab vedotin, followed by autologous hematopoietic stem cell transplantation (ASCT) cured the CNS lesions, whereas the skin lesions relapsed early. PC‐ALCL could relapse in the CNS; systemic chemotherapy and ASCT may be effective.
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spelling doaj-art-fd6e05edff434987b33f853f8c6eb2bc2025-08-20T02:24:54ZengWileyeJHaem2688-61462025-04-0162n/an/a10.1002/jha2.1082Central nervous system relapse of primary cutaneous anaplastic large cell lymphoma: A case reportSatoshi Mitsuyuki0Sayaka Okazaki1Satoru Mukai2Ai Matsuura3Yumiko Yasuhara4Aya Tanaka5Koichi Oshima6Kazuo Hatanaka7Department of Hematology Sakai City Medical Center Sakai JapanDepartment of Hematology Sakai City Medical Center Sakai JapanDepartment of Hematology Sakai City Medical Center Sakai JapanDepartment of Hematology Sakai City Medical Center Sakai JapanDepartment of Pathology and Laboratory Sakai City Medical Center Sakai JapanDepartment of Dermatology Sakai City Medical Center Sakai JapanDepartment of Pathology Kurume University School of Medicine Kurume JapanDepartment of Hematology Sakai City Medical Center Sakai JapanAbstract Primary cutaneous anaplastic large cell lymphoma (PC‐ALCL) has a high relapse rate. However, it typically remains confined to the skin and has a favorable long‐term prognosis. We describe a case of PC‐ALCL that experienced a relapse in the central nervous system (CNS). The patient presented with somatosensory abnormalities in the extremities after local treatment of skin lesions and was diagnosed with CNS relapse of PC‐ALCL. Methotrexate, procarbazine, and vincristine therapy, and alternating brentuximab vedotin, followed by autologous hematopoietic stem cell transplantation (ASCT) cured the CNS lesions, whereas the skin lesions relapsed early. PC‐ALCL could relapse in the CNS; systemic chemotherapy and ASCT may be effective.https://doi.org/10.1002/jha2.1082case reportperipheral T‐cell lymphomaprimary cutaneous anaplastic large cell lymphomasecondary CNS lymphoma
spellingShingle Satoshi Mitsuyuki
Sayaka Okazaki
Satoru Mukai
Ai Matsuura
Yumiko Yasuhara
Aya Tanaka
Koichi Oshima
Kazuo Hatanaka
Central nervous system relapse of primary cutaneous anaplastic large cell lymphoma: A case report
eJHaem
case report
peripheral T‐cell lymphoma
primary cutaneous anaplastic large cell lymphoma
secondary CNS lymphoma
title Central nervous system relapse of primary cutaneous anaplastic large cell lymphoma: A case report
title_full Central nervous system relapse of primary cutaneous anaplastic large cell lymphoma: A case report
title_fullStr Central nervous system relapse of primary cutaneous anaplastic large cell lymphoma: A case report
title_full_unstemmed Central nervous system relapse of primary cutaneous anaplastic large cell lymphoma: A case report
title_short Central nervous system relapse of primary cutaneous anaplastic large cell lymphoma: A case report
title_sort central nervous system relapse of primary cutaneous anaplastic large cell lymphoma a case report
topic case report
peripheral T‐cell lymphoma
primary cutaneous anaplastic large cell lymphoma
secondary CNS lymphoma
url https://doi.org/10.1002/jha2.1082
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