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Controversies in Dermatology
Primary Cutaneous CD30+ Lymphoproliferative Disorders
Síndrome linfoproliferativo CD30+ cutáneo primario
L. Calzado-Villarreala, I. Polo-Rodríguezb, P.L. Ortiz-Romerob,
Autor para correspondencia
portiz.hdoc@salud.madrid.org

Corresponding author.
a Unidad de Dermatología, Hospital Universitario Fundación de Alcorcón, Alcorcón, Madrid, Spain
b Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, Spain
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        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">CD30<span class="elsevierStyleSup">&#43;</span> lymphoproliferative disorders are the most common group of cutaneous T-cell lymphomas after mycosis fungoides and its subtypes&#46; This group includes lymphomatoid papulosis and CD30<span class="elsevierStyleSup">&#43;</span> anaplastic large-cell lymphoma&#59; these 2 entities are the extremes of a spectrum with numerous intermediate varieties in which it is not possible to establish a clear diagnosis based on clinical and histopathologic criteria&#46; CD30<span class="elsevierStyleSup">&#43;</span> lymphoproliferative disorders must be differentiated from other lymphoproliferative diseases with CD30<span class="elsevierStyleSup">&#43;</span> cells in the tumor infiltrates&#44; such as mycosis fungoides or Hodgkin disease&#44; and also from other inflammatory conditions or nonhematological neoplasms that can include this cell type&#44; such as pityriasis lichenoides et varioliformis acuta or certain mesenchymal tumors &#40;CD30<span class="elsevierStyleSup">&#43;</span> pseudolymphomas&#41;&#46; In contrast to their systemic homologues&#44; which arise in the lymph nodes&#44; CD30<span class="elsevierStyleSup">&#43;</span> lymphoproliferative disorders generally have a good prognosis&#46; It is very important to exclude the presence of a lymphoma of systemic origin with extralymphatic spread&#44; as the prognosis and treatment are different&#46;</p>"
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        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El segundo grupo m&#225;s frecuente de linfomas cut&#225;neos de c&#233;lulas T son los s&#237;ndromes linfoproliferativos &#40;SLP&#41; CD30&#43;&#44; por detr&#225;s del grupo de la micosis fungoide &#40;MF&#41; y sus variantes&#46; Estos engloban la papulosis linfomatoide y los linfomas anapl&#225;sicos de c&#233;lulas grandes CD30&#43;&#44; polos de un espectro que dejan en su zona central casos intermedios&#44; donde no se puede establecer con seguridad un diagn&#243;stico en base a criterios cl&#237;nicos e histopatol&#243;gicos&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Los SLP CD30&#43; deben diferenciarse de otros procesos linfoproliferativos que pueden presentar c&#233;lulas CD30&#43; en sus infiltrados tumorales&#44; como la propia MF o la enfermedad de Hodgkin&#44; y tambi&#233;n de otras entidades inflamatorias o neoplasias no hematol&#243;gicas que presenten estas c&#233;lulas&#44; como es el caso de la pitiriasis liquenoide y varioliforme aguda o determinados tumores mesenquimales &#40;&#171;pseudolinfomas CD30&#43;&#187;&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En general&#44; el pron&#243;stico de estos SLP CD30&#43; es favorable&#44; lo que les diferencia de sus hom&#243;logos sist&#233;micos&#44; de origen ganglionar&#46; Resulta muy importante descartar la presencia de linfoma de origen sist&#233;mico con afectaci&#243;n extraganglionar&#44; pues el pron&#243;stico y el tratamiento ser&#225;n diferentes&#46;</p>"
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