Practical evaluation and management of cutaneous lymphoma.pdfVIP

CONTINUING MEDICAL EDUCATION Practical evaluation and management of cutaneous lymphoma Maxwell A. Fung, MD, Michael J. Murphy, MD, Diane M. Hoss, MD, and Jane M. Grant-Kels, MD Farmington, Connecticut Accurate evaluation of patients with suspected or known cutaneous lymphoma requires the integration of many sources and types of information, including clinical evaluation, microscopic analysis of tissue, immunophenotyping, gene rearrangement studies, clinical staging, and longitudinal observation. Diagnoses should be based on knowledge of specific lymphoma types as described in modern classification systems. Management of patients with cutaneous lymphoma requires collaboration among dermatologists, dermatopathologists, hematopathologists, and medical, surgical and radiation oncologists. (J Am Acad Dermatol 2002;46:325-57.) Learning objective: At the conclusion of this learning activity, participants should better understand how to evaluate and manage patients for suspected or established lymphoma of the skin. Components include the clinical history and physical examination, optimal biopsy and tissue handling, interpretation of pathology and adjunctive test results, clinicopathologic correlation, and therapy. Participants should also understand the basis for establishing a specific diagnosis of cutaneous lymphoma based on current classification and staging. erhaps more often than with any other skin Underlying and complicating these issues is the disease, establishing or excluding a de novo constantly expanding knowledge in the fi