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Lymphoblastoma. Presented by Dr. Irwin I. Lubowe.
P. C., a 62-year-old man, gives a three-year history of an eruption on the back which spread to the shoulders and chest.
Upon examination the patient shows scattered, erythematous, irregular, oval patches on the posterior and anterior aspect of the chest, shoulders, and arms. Several of these lesions are elevated and infiltrated. The patient states that there is no itching.
Laboratory investigation revealed no abnormalities in the bone marrow, blood cell count, or urine. The biopsy report with the diagnosis of lymphoblastoma is as follows: "Throughout the upper and mid cutis there are irregular cellular masses. These consist of various sized and shaped cells; some appear to be reticular in type; others are small and compact. The reticulum is pronounced. The cells are in general those seen in lymphomas, the exact type not determined."
Dr. A. J. Orfuss: The suggestion of the