Secondary pancreatic involvement of mycosis fungoides detected by a clinically palpable mass.
A patient with a 4-year history of mycosis fungoides, who presented a pancreatic spreading of the disease, detected by a clinically palpable mass, is reported and discussed with a review of the literature. Mycosis fungoides (MF) is a T cell lymphoma primarily localized to the skin. Laparoscopic staging and autopsy studies, however, have shown that lymph node involvement or visceral spreading is common in the course of the disease [1-3]. Among visceral manifestations of MF, pancreas infiltration is found in 20-40% of autopsied cases [1, 2, 4]. Occurrence of a palpable pancreatic mass has never been described. We report a patient with a long-standing MF, and a secondary pancreatic extension detected by a palpable mass.
Kaplanski
G
G
Service de Médecine Interne, Hôpital Sainte-Marguerite, Marseille, France.
Koeppel
M C
MC
Deharo
C
C
Durand
J M
JM
Andrac
L
L
Sayag
J
J
D000368:Aged; D000369:Aged, 80 and over; D017809:Fatal Outcome; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D009182:Mycosis Fungoides / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000556:secondary*; D012878:Skin Neoplasms / Q000473:pathology*