PMID- 16181471 OWN - NLM STAT- MEDLINE DCOM- 20060112 LR - 20151119 IS - 0007-0963 (Print) IS - 0007-0963 (Linking) VI - 153 IP - 4 DP - 2005 Oct TI - Richter syndrome first manifesting as cutaneous B-cell lymphoma clonally distinct from primary B-cell chronic lymphocytic leukaemia. PG - 833-7 AB - Richter syndrome (RS) is a transformation to high-grade non-Hodgkin lymphoma in patients with chronic lymphocytic leukaemia (CLL). RS may develop in lymph nodes or rarely extranodally. Skin localization of RS has been described in only a few cases. We present a 77-year-old woman who developed isolated diffuse large B-cell lymphoma (LBCL) in the skin of the nose without any other symptoms of RS. The LBCL in the skin was clonally distinct from the original bone marrow CLL cells. Moreover, LBCL cells were positive for LMP-1 segment of Epstein-Barr virus and overexpressed p53 protein. The patient was successfully treated with CHOP (cyclophosphamide, doxorubicin, vincristine and prednisone) and adjuvant local radiotherapy. FAU - Robak, E AU - Robak E AD - Department of Dermatology, Medical University of Lodz, Lodz, Poland. robaktad@csk.umed.lodz.pl FAU - Gora-Tybor, J AU - Gora-Tybor J FAU - Kordek, R AU - Kordek R FAU - Wawrzyniak, E AU - Wawrzyniak E FAU - Bartkowiak, J AU - Bartkowiak J FAU - Bednarek, A AU - Bednarek A FAU - Constantinou, M AU - Constantinou M FAU - Kaluzewski, B AU - Kaluzewski B FAU - Robak, T AU - Robak T LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Dermatol JT - The British journal of dermatology JID - 0004041 RN - 5J49Q6B70F (Vincristine) RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - VB0R961HZT (Prednisone) RN - CHOP protocol SB - IM MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Cyclophosphamide/therapeutic use MH - Doxorubicin/therapeutic use MH - Female MH - Humans MH - Leukemia, Lymphocytic, Chronic, B-Cell/*pathology MH - Lymphoma, B-Cell/drug therapy/*pathology MH - Neoplasms, Second Primary/drug therapy/pathology MH - Neoplastic Stem Cells/*pathology MH - Nose Neoplasms/drug therapy/*pathology MH - Prednisone/therapeutic use MH - Skin Neoplasms/drug therapy/*pathology MH - Syndrome MH - Vincristine/therapeutic use EDAT- 2005/09/27 09:00 MHDA- 2006/01/13 09:00 CRDT- 2005/09/27 09:00 PHST- 2005/09/27 09:00 [pubmed] PHST- 2006/01/13 09:00 [medline] PHST- 2005/09/27 09:00 [entrez] AID - BJD6805 [pii] AID - 10.1111/j.1365-2133.2005.06805.x [doi] PST - ppublish SO - Br J Dermatol. 2005 Oct;153(4):833-7. doi: 10.1111/j.1365-2133.2005.06805.x.