Leukemia cutis Flashcards
localized or disseminated skin infltration by leukemic cells.It is usually a sign of dissemination of systemic disease or relapse of existing leukemia
Poor prognosis
Leukemic cutis
Commonly occurs w what disease
acute monocytic leukemia M5 and acute myelomonocytic leukemia M4.
■ Most commo
Skin lesions
Most common lesions are small (2 to 5 mm) papules (Figs. 20-9 and 20-10), nodules (Figs. 20-11 and 20-12), or plaques. LC lesions are usually somewhat more pink, violaceous, or darker than nor- mal skin, always palpable, indurated, and rm.
■ Localized or disseminated; usually on the trunk (Fig. 20-9), extremities (Fig. 20-11), and the ace
Treatment
Treatment is directed at leukemia itself.
combination of systemic chemotherapy and local electron beam therapy or PUVA may be necessary or chemotherapy resistant LC lesions.Intralesional chemotherapy has been used in management of localized,single,or a few lesions.