title: Cutaneous T-cell lymphoma associated with ileostomy: management of uncommon stomal complication.
abstract: OBJECTIVE
  Cutaneous T-cell lymphoma involvement of an ileostomy is a rare stomal complication.
  
  
  METHODS
  We present the case of a 54-year-old man who presented with peristomal skin breakdown associated with fevers and chills.
  
  
  RESULTS
  The stoma was taken down, and the surrounding skin debrided. A new ileostomy was created in left abdominal wall. Pathology specimens of the debrided skin, subcutaneous tissue, and stoma returned positive for cutaneous T-cell lymphoma.
  
  
  CONCLUSIONS
  The medical treatment of the underlying T-cell lymphoma can give a good diagnosis when it is diagnosed early, but late-stage identification is less encouraging. The surgical treatment involves debridement and careful planning for ileostomy formation.
authors.affiliation: Department of Surgery, David Grant Medical Center, Travis Air Force Base, California, USA.
authors.forename: John S
authors.initials: JS
authors.lastname: Bruun
authors.forename: James D
authors.initials: JD
authors.lastname: Rorabaugh