Blastic Plasmacytoid Dendritic Cell Neoplasm: Skin and Bone Marrow Infiltration of Three Cases and the Review of the Literature

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a distinct and rare neoplastic entity and was classified as a subgroup of acute myeloblastic leukemia by the WHO in 2008. The median survival of patients was 15.2 months in a large case series. Allogeneic or autologous bone marrow transplantati...

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Bibliographic Details
Published in:Indian journal of hematology & blood transfusion 2015-06, Vol.31 (2), p.302-306
Main Authors: Atalay, Figen, Demirci, Gülşen Tükenmez, Bayramgürler, Dilek, Ateşoğlu, Elif Birtaş, Yıldız, Semsi
Format: Article
Language:English
Subjects:
Blood Transfusion Medicine
Bone marrow
Case Report
Hematology
Human Genetics
Medicine
Medicine & Public Health
Oncology
Skin
Tumors
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Summary:Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a distinct and rare neoplastic entity and was classified as a subgroup of acute myeloblastic leukemia by the WHO in 2008. The median survival of patients was 15.2 months in a large case series. Allogeneic or autologous bone marrow transplantation has been recommended by some reports because of the disease’s poor prognosis. We present three patients who presented with both skin and bone marrow infiltration. A 57-year-old man, a 62-year-old woman, a 64-year-old man were admitted to our outpatient clinic because of skin lesions. All of the patient’s had bone marrow infiltration with positivity of the CD4, CD56, and CD123 staining. Survival of the patient’s were 42, 6 and 12 months, respectively. Two of the patients who presented as blastic form didn’t respond to any chemotherapy. BPDCN is a difficult disease to diagnosis and manage. CD4, CD56, CD123, CD303, and T cell leukemia/lymphoma 1. Cutaneous lesions can present as isolated nodules, macules, and disseminated macules and nodules. Positivities are crucial to the diagnosis of the disease in histological examination. Bone marrow infiltration or disease relapse at presentation were related to poor prognosis. Complete immunocytochemical staining must be performed for all patients who have cutaneous lesions with or without blood count abnormalities. Bone marrow (allogeneic or autologous) transplantation should be considered at the first remission.
ISSN:0971-4502
0974-0449
0974-0449
0971-4502
DOI:10.1007/s12288-014-0464-3