Complete resolution of primary cutaneous marginal zone B-cell lymphoma on the cheek of a 7-year-old boy with intralesional triamcinolone and tincture of time

Pediatr Dermatol. 2020 Jan;37(1):228-229. doi: 10.1111/pde.14028. Epub 2019 Oct 30.

Abstract

A 7-year-old healthy boy presented with an asymptomatic smooth, firm red plaque on the cheek. Histopathology, immunostaining, molecular testing and imaging confirmed a diagnosis of a primary cutaneous marginal zone B-cell lymphoma. The lesion was treated with intralesional triamcinolone, with complete clinical resolution achieved within one year. Intralesional steroid injection is an effective first-line modality for the treatment of patients with limited disease in cosmetically sensitive areas.

Keywords: intralesional steroids; marginal zone lymphoma; primary cutaneous B-cell lymphoma.

MeSH terms

  • Cheek
  • Child
  • Glucocorticoids / administration & dosage*
  • Humans
  • Injections, Intralesional
  • Lymphoma, B-Cell, Marginal Zone / diagnosis
  • Lymphoma, B-Cell, Marginal Zone / drug therapy*
  • Male
  • Remission Induction
  • Skin Neoplasms / diagnosis
  • Skin Neoplasms / drug therapy*
  • Time Factors
  • Triamcinolone / administration & dosage*
  • Watchful Waiting

Substances

  • Glucocorticoids
  • Triamcinolone