Dermatology Home Page Clinical Services Information for Patients Research and Clinical Trials Links to Other Web Sites About Dermatology Faculty Information for Medical Students Residents, Fellows, Dermatology Nurse, and Alumni Notable Cases B-Cell Lymphoma of the Scalp Clinical History DT is a 72 year old white male concerned about some asymptomatic nodules on his scalp noted for four months. He states he had similar nodules in 1982 which spontaneously regressed after 3 months. A biopsy at the time revealed a lymphocytic infiltration of the skin, unclassified. He has a past medical history of hypertension, which he takes Tenormin for, and history of basal cell carcinoma on the right side of the nose status post irradiation therapy 30 years ago. Allergies are to penicillin.
Family history is positive for prostate cancer and gastric cancer.
He specifically denied weight loss, fevers, night sweats, nausea, vomiting, diarrhea, abdominal pain, headaches, hemoptysis, hematemesis, melena, and dysuria. Cytogenetics and flow cytometry were normal. A bone marrow biopsy showed slight erythroid hyperplasia, but no evidence of lymphoma or leukemia involving the marrow. A CT of the abdomen and pelvis was negative except minimal lymphadenopathy around the aorta and inferior vena cava. Smear revealed several large granular lymphocytes.