Pathology case of the month. A cheek mass in a young woman. Subcutaneous panniculitis-like T-cell lymphoma
Reddy, P.; Veillon, D.M.; Nordberg, M.L.; Flamholz, R.B.; Cunningham, M.; Mansour, R.P.; Cotelingam, J.D.
Journal of the Louisiana State Medical Society official organ of the Louisiana State Medical Society 155(5): 232-234
2003
ISSN/ISBN: 0024-6921 PMID: 14748482 Document Number: 9560
A previously healthy 30-year-old black woman presented with an asymptomatic, slowly growing, erythematous mass on the left cheek of 18 months duration. There was no history of trauma to the face, and she consulted her physician because of cosmetic disfigurement. She denied anorexia, fever, weight loss, night sweats, or other constitutional symptoms. Physical examination revealed a red, soft mass involving the skin and subcutaneous tissue of the left infraorbital area overlying the cheekbone. Two additional lesions were identified in the right breast and left buttock. Both lesions were deep, non-tender, and soft in consistency. No hepatosplenomegaly or lymphadenopathy was evident, and the remainder of the physical examination was unremarkable. Laboratory tests, including a complete blood count, basic metabolic panel, urinalysis, and coagulation studies, were within normal limits. There was no evidence of bone involvement on computerized axial tomography scan; however, by positron emission tomography scan, scattered foci of intense uptake of radioactive fluorodeoxyglucose were observed in the subcutaneous tissues of the left cheek, right breast, left axilla, right buttock, and left thigh. The left cheek mass was excised.
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