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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mycosis fungoides &#40;MF&#41;&#44; the most common cutaneous T-cell lymphoma&#44; has a different clinical presentation than most malignant skin tumors&#46; Because of its clinical similarity in the early stages to some inflammatory diseases&#44; such as psoriasis and the eczemas with which it is often confused&#44; it is difficult to include MF in the classic tumor-node-metastasis-blood &#40;TNMB&#41; classification system&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> One of the main problems with applying TNMB staging to MF is the objective assessment of the body surface area &#40;BSA&#41; involved&#58; in the early stages&#44; the classification only considers whether the lesions cover &#60;<span class="elsevierStyleHsp" style=""></span>10&#37; &#40;T1&#41; or<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>10&#37; &#40;T2&#41; of the total BSA&#59; consequently&#44; differences between patients with lesions on 20&#37; of the body and those with lesions on 90&#37;-100&#37; of the body are not reflected in the classification&#46; Similarly&#44; it is difficult to assess the impact of a particular treatment on the course of the disease and&#47;or a possible change of stage because the type and number of skin lesions&#44; plaques&#44; and tumors are not reflected in the current TNMB system&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In clinical practice&#44; physicians assess changes not only in the extent of disease but also in the type of individual lesions and the total BSA involved&#46; There is a tool for this purpose that is not well known to those unfamiliar with the field of cutaneous lymphomas&#46; This tool&#44; known as the Severity-Weighted Assessment Tool &#40;SWAT&#41;&#44; uses a continuous scale like that of the Psoriasis Area and Severity Index &#40;PASI&#41; and the Eczema Area and Severity Index &#40;EASI&#41;&#44; facilitating a precise assessment of area of skin involvement by type of lesion&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The SWAT&#44; first proposed by Stevens et al&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> in 2002&#44; takes into account the percentage of total body surface area &#40;&#37;TBSA&#41; affected by each type of lesion &#40;patch&#44; plaque&#44; tumor&#44; or ulcer&#41;&#44; thus providing a defined&#44; objective&#44; and sensitive measurement of possible changes in the course of the disease in patients diagnosed with MF&#46; The SWAT was subsequently modified &#40;mSWAT&#41;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">3&#44;4</span></a> to give higher scores for tumors and to differentiate between erythrodermic and nonerythrodermic disease &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; The European Organization for Research and Treatment of Cancer &#40;EORTC&#41; has recommended the mSWAT as the first-line method for calculating cutaneous involvement in patients diagnosed with MF and S&#233;zary syndrome&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The application of this index makes it possible to assign patients a numerical value for the purposes of assessing treatment responses&#44; carrying out comparative studies&#44; and monitoring clinical trials in a quantitative manner&#44; although it is true that the index does not eliminate intraobserver and interobserver variability&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a> Despite being an excellent tool that makes it possible to quantify cutaneous involvement in patients with MF&#44; it is not included in the staging system and its prognostic implications have not been demonstrated &#40;although a poor prognosis can be inferred from a high mSWAT score&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">A free mobile application called Cutaneous Lymphoma Resource Tools allows clinicians to quickly estimate a patient&#39;s mSWAT score during a consultation&#46; Along with the patient&#39;s TNMB status&#44; the mSWAT score should be added to the clinical record at each visit to improve follow-up&#46;</p></span>"
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          "leyenda" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Abbreviations&#58; mSWAT&#44; Modified Severity-Weighted Assessment Tool&#59; &#37;TBSA&#44; percentage of total body surface area&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Source&#58; Scarisbrick and Morris<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> and Olsen et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p>"
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                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " rowspan="5" align="left" valign="top">Erythrodermic</td><td class="td" title="table-entry  " align="left" valign="top">&#40;patch &#37;TBSA<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " rowspan="5" align="left" valign="top">Nonerythrodermic</td><td class="td" title="table-entry  " align="left" valign="top">&#40;mild infiltration &#37;TBSA<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>1&#41;&nbsp;\t\t\t\t\t\t\n
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