A Clinical Report and Literature Review of Subcutaneous Panniculitis-like T-cell Lymphoma Misdiagnosed as Chron-ic Wound Infection
JIANG Qi-xia
WANG Jian-dong
Li Xiao-hua
XU Yuan-ling
PENG Qing
CAI Hui
Abstract：Objective To explore the wound characteristics of subcutaneous panniculitis-like T-cell lymphoma ( SPTCL) and the misdiagnosed causes in order to provide evidence for recognition. Methods Clinical data of one case of SPTCL misdiagnosed as chronic infective wound for a long time was analyzed retrospectively, and relevant literature was re-viewed. Results This patient first visited for his chronic wound infection for more than seven months. The patient complained of subcutaneous nodosity near the bilateral axilla. Two biopsy tests and histological tests were made and the results indicated inflammation. The patient received appropriate treatment, which did not respond and condition became progressively worse. In our hospital, the patient was diagnosed as having SPTCL by two biopsy tests and immunohistochemistry tests and then received chemotherapy for five days, but the wound area tumed more extensive, necrotic with severe pains. The patient and their fami-lies were required to discharge 7 d after confirmed diagnosis. The patient died of complicated intestinal colic 50 d after dis-charge. Conclusion The clinical manifestations of SPTCL are various and tend to be misdiagnosed. The wounds may be re-peatedly infected and difficult to heal. The clinical features of chronic wounds may be the main cause of misdiagnosis of this case. Clinicians should take joint consultations with pathologists and oncologists in order to confirm the diagnosis early.
Keywords：LymphomaT-CellcutaneousMisdiagnoseWound infection
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 48-51 )