Primary Cutaneous Diffuse Large B-Cell Lymphoma–Leg Type Masquerading as a Mucocele

    Z. Abidi, H. Ahmed, N. Sadick
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    Studysummary This case study reports an unusual presentation of primary cutaneous diffuse large B-cell lymphoma–leg type occurring on the upper lip of an 81-year-old woman, highlighting the need for timely recognition of atypical manifestations.
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    An 81-year-old woman with a history of breast cancer and hypothyroidism presented with an unusual case of Primary cutaneous diffuse large B-cell lymphoma–leg type (PCDLBCL-LT) on her upper lip, a condition typically found on the lower limbs and primarily affecting elderly females. Initially suspected to be a mucocele, a punch biopsy revealed atypical B-cells indicative of PCDLBCL-LT. The patient underwent three cycles of R-CHOP (rituximab, cyclophosphamide, vincristine, prednisone) and radiation therapy, resulting in no clinical evidence of disease. This case underscores the importance of timely recognition of PCDLBCL-LT, even in atypical presentations, due to its aggressive nature and potential impact on patient outcomes.
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