Mycosis Fungoides: Experience in a Pediatric Hospital

Actas Dermosifiliogr. 2017 Mar 6. pii: S0001-7310(17)30065-0. doi: 10.1016/j.ad.2017.01.008. [Epub ahead of print] Mycosis Fungoides: Experience in a Pediatric Hospital.
[Article in English, Spanish] Cervini AB1, Torres-Huamani AN2, Sanchez-La-Rosa C3, Galluzzo L4, Solernou V4, Digiorge J5, Rubio P5.
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Abstract
Mycosis fungoides (MF), the most common primary cutaneous T-cell lymphoma, is unusual in children.
OBJECTIVES:
We aimed to describe the epidemiologic, clinical, histopathologic, and immunophenotypic characteristics of MF as well as treatments and course of disease in a pediatric case series.
MATERIAL AND METHOD:
Data for all patients admitted to our pediatric hospital (Hospital Dr. J. P. Garrahan) in Argentina with a clinical and histopathologic diagnosis of MF between August 1988 and July 2014 were included.
RESULTS:
A total of 14 patients were diagnosed with MF. The ratio of boys to girls was 1:1.33. The mean age at diagnosis was 11.23 years (range, 8-15 years). The mean time between onset and diagnosis was 3.5 years (range, 4 months-7 years). All patients had hypopigmented MF and 42% also presented the features of classic MF. Seven (50%) had the CD8+ immunophenotype exclusively. Seventy-eight percent were in stage IB at presentation. Phototherapy was the treatment of choice. Four patients relapsed at least once and skin lesions progressed in 3 patients. All patients improved.
CONCLUSIONS:
MF is unusual in children. The hypopigmented form is the most common. Diagnosis is delayed because the condition is similar to other hypopigmented diseases seen more often in childhood. Although prognosis is good, the rate of recurrence is high, so long-term follow-up is necessary