Abstract:
An 84-year-old female experienced progressive erythema on her limbs and chest over the past year. Initially managed with topical steroids, the erythema eventually spread throughout her body, forming erosions. A biopsy confirmed the diagnosis of mycosis fungoides (MF) (Stage IIB, T2bN0M0B0). Treatment with oral bexarotene (300 mg/day) and narrow-band UVB therapy showed limited improvement. Electron beam therapy (30 Gy in 10 fractions) applied to facial and plantar tumors resulted in a reduction of the tumors. This case highlights the treatment of tumors of MF on the face showing the effectiveness of combining electron beam therapy with bexarotene.
摘要:
在过去的一年中,一名84岁的女性四肢和胸部出现了进行性红斑。最初用局部类固醇治疗,红斑最终蔓延到她的全身,形成侵蚀。活检证实了真菌病(MF)的诊断(IIB期,T2bN0M0B0)。口服贝沙罗汀(300mg/天)和窄谱UVB治疗显示改善有限。应用于面部和足底肿瘤的电子束治疗(10个部分中30Gy)导致肿瘤的减少。该病例突出了面部MF肿瘤的治疗,显示了电子束治疗与贝沙罗汀结合的有效性。