Bruggen, M-C., Valencak, J., Stranzenbach, R., Li, N., Stadler, R., Jonak, C., Bauer, W., Porkert, S., Blaschke, A., Meiss, F., Nicolay, J. P., Wehkamp, U., Schlaak, M., Nguyen, V. A., Romani, N., Cozzio, A., Gayathri, N., Dimitriou, F., French, L. E., Dummer, R. and Guenova, E. (2020). Clinical diversity and treatment approaches to blastic plasmacytoid dendritic cell neoplasm: a retrospective multicentre study. J. Eur. Acad. Dermatol. Venereol., 34 (7). S. 1489 - 1496. HOBOKEN: WILEY. ISSN 1468-3083

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Abstract

Background Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare, aggressive type of haematologic precursor malignancy primarily often manifesting in the skin. We sought to provide a thorough clinical characterization and report our experience on therapeutic approaches toBPDCN. Methods In the present multicentric retrospective study, we collected allBPDCNcases occurring between 05/1999 and 03/2018 in 10 secondary care centres of the German-Swiss-Austrian cutaneous lymphoma working group. Results A total of 37BPDCNcases were identified and included. Almost 90% of the patients had systemic manifestations (bone marrow, lymph nodes, peripheral blood) in addition to skin involvement. The latter presented with various types of cutaneous lesions: nodular (in more than 2/3) and bruise-like (in 1/3) skin lesions, but also maculopapular exanthema (in circa 1/6). Therapeutically, 22 patients received diverse combinations of chemotherapeutic regimens and/or radiotherapy. Despite initial responses, all of them ultimately relapsed and died from progressive disease. Eleven patients underwent haematopoietic stem cell transplantation (HSCT; autologousHSCTn = 3, allo-HSCTn = 8). The mortality rate amongHSCTpatients was only 33.33% with a median survival time of 60.5 months. Conclusion Our study demonstrates the clinical diversity of cutaneousBPDCNmanifestations and the positive development observed after the introduction ofHSCT.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Bruggen, M-C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Valencak, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stranzenbach, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Li, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stadler, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jonak, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bauer, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Porkert, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Blaschke, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meiss, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nicolay, J. P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wehkamp, U.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schlaak, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nguyen, V. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Romani, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cozzio, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gayathri, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dimitriou, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
French, L. E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dummer, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guenova, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-327793
DOI: 10.1111/jdv.16215
Journal or Publication Title: J. Eur. Acad. Dermatol. Venereol.
Volume: 34
Number: 7
Page Range: S. 1489 - 1496
Date: 2020
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1468-3083
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
HEALTH-ORGANIZATION CLASSIFICATION; 2016 REVISION; TRANSPLANTATION; LEUKEMIA; DIAGNOSIS; FEATURES; LINEAGE; UPDATE; ENTITYMultiple languages
DermatologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/32779

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