A 92-year-old man with primary cutaneous diffuse large B-cell non-Hodgkin's lymphoma manifesting as a giant scalp mass A case report

作者：Liao, Chenlong; Yang, Min; Liu, Pengfei; Zhang, Wenchuan^*

来源：Medicine, 2017, 96(10): e6270.

DOI：10.1097/MD.0000000000006270

• diffuse large B-cell lymphoma
• non-Hodgkin's lymphoma
• primary cutaneous lymphoma
• scalp mass
• surgery

Rationale: Primary cutaneous non-Hodgkin's lymphoma (NHL) is an uncommon entity, representing 10% of all extranodal NHLs. Among all cutaneous sites, the scalp is a rare site of representation.
Patient concerns: A 92-year-old Chinese man visited our hospital with a multiple-nodular huge scalp mass on the right parieto-occipital regions. The mass was of 7-month duration and progressively enlarging in size.
Diagnoses: On the basis of the result of biopsy, diffuse large B-cell NHL was diagnosed.
Interventions: The mass was partially resected by surgery and no further treatment was conducted due to the advanced age and poor physical status.
Outcomes: The tumor relapsed in situ after 6 months and the patient died after 2 years.
Lessons: This case highlighted the limited access to standard treatment options in patients with advanced age. A thorough examination is necessary to decide upon the treatment for the primary cutaneous lymphoma.

• 出版日期2017-3
• 单位上海交通大学