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April 1970

Cutaneous Lymphoma Complicating Basal Cell Carcinoma of the Face

Author Affiliations

From the Head and Neck Service, Greater Baltimore Medical Center (Dr. Chambers) and the Division of Otolaryngology, Department of Surgery, Johns Hopkins Hospital, Baltimore (Dr. Alonso).

Arch Otolaryngol. 1970;91(4):378-381. doi:10.1001/archotol.1970.00770040536015

THE dermatologic literature is rich with reports on the cutaneous manifestations of the malignant lymphomas.1-13 Scant, if any attention has been paid to this variant of lymphomas in the otolaryngologic literature. Fromer and Geokas3 estimate that 17% to 48% of patients with lymphomas will have cutaneous evidence of their disease. About 60% of the cases of Hodgkin's disease and 20% to 29% of mycosis fungoides and lymphosarcoma will present with a primary focus in the head and neck.14 Another author adds that all cases of mycosis fungoides will have cutaneous involvement, but only in 10% of the cases of Hodgkin's disease and lymphosarcoma will there be a cutaneous manifestation.1 Our interest is to draw attention to this disease, so that those dealing primarily with the head and neck will consider this possibility in the differential diagnoses of cutaneous malignancies. A report of an unusual development in

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