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      Emerging treatment options for early mycosis fungoides

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          Abstract

          Mycosis fungoides is a candidate for skin-directed therapies in its initial stages. In recent years, therapeutic options outside of the normal treatment recommendations such as topical imiquimod, topical tazarotene, topical methotrexate, excimer light sources, and photodynamic therapy have been published with variable results. These alternatives have been useful in cases of localized mycosis fungoides that do not respond to routine treatments; nevertheless, more studies on these methods are still needed. This article summarizes the literature and data that are known so far about these treatments.

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          WHO-EORTC classification for cutaneous lymphomas.

          Rein Willemze, Elaine Jaffe, Günter Burg … (2005)
          Primary cutaneous lymphomas are currently classified by the European Organization for Research and Treatment of Cancer (EORTC) classification or the World Health Organization (WHO) classification, but both systems have shortcomings. In particular, differences in the classification of cutaneous T-cell lymphomas other than mycosis fungoides, Sezary syndrome, and the group of primary cutaneous CD30+ lymphoproliferative disorders and the classification and terminology of different types of cutaneous B-cell lymphomas have resulted in considerable debate and confusion. During recent consensus meetings representatives of both systems reached agreement on a new classification, which is now called the WHO-EORTC classification. In this paper we describe the characteristic features of the different primary cutaneous lymphomas and other hematologic neoplasms frequently presenting in the skin, and discuss differences with the previous classification schemes. In addition, the relative frequency and survival data of 1905 patients with primary cutaneous lymphomas derived from Dutch and Austrian registries for primary cutaneous lymphomas are presented to illustrate the clinical significance of this new classification.
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            Revisions to the staging and classification of mycosis fungoides and Sezary syndrome: a proposal of the International Society for Cutaneous Lymphomas (ISCL) and the cutaneous lymphoma task force of the European Organization of Research and Treatment of Cancer (EORTC).

            Elise A Olsen, Eric C. Vonderheid, Nicola Pimpinelli … (2007)
            The ISCL/EORTC recommends revisions to the Mycosis Fungoides Cooperative Group classification and staging system for cutaneous T-cell lymphoma (CTCL). These revisions are made to incorporate advances related to tumor cell biology and diagnostic techniques as pertains to mycosis fungoides (MF) and Sézary syndrome (SS) since the 1979 publication of the original guidelines, to clarify certain variables that currently impede effective interinstitution and interinvestigator communication and/or the development of standardized clinical trials in MF and SS, and to provide a platform for tracking other variables of potential prognostic significance. Moreover, given the difference in prognosis and clinical characteristics of the non-MF/non-SS subtypes of cutaneous lymphoma, this revision pertains specifically to MF and SS. The evidence supporting the revisions is discussed as well as recommendations for evaluation and staging procedures based on these revisions.
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              Defining early mycosis fungoides.

              Janet Olsen, Joan Guitart, Keiji Iwatsuki … (2005)
              This editorial review summarizes the results of 5 meetings sponsored by the International Society for Cutaneous Lymphoma at which the clinicopathologic and ancillary features of early mycosis fungoides were critically examined. Based on this analysis, an algorithm was developed for the diagnosis of early mycosis fungoides involving a holistic integration of clinical, histopathologic, immunopathologic, and molecular biological characteristics. A novel aspect of this algorithm is that it relies on multiple types of criteria rather than just one, for example, histopathology. Before its finalization, the proposed diagnostic algorithm will require validation and possibly further refinement at multiple centers during the next several years. It is anticipated that a more standardized approach to the diagnosis of early mycosis fungoides will have a beneficial impact on the epidemiology, prognostication, treatment, and analysis of clinical trials pertaining to this most common type of cutaneous lymphoma.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Cosmet Investig Dermatol
                Journal ID (iso-abbrev): Clin Cosmet Investig Dermatol
                Journal ID (publisher-id): Clinical, Cosmetic and Investigational Dermatology
                Title: Clinical, Cosmetic and Investigational Dermatology
                Publisher: Dove Medical Press
                ISSN (Electronic): 1178-7015
                Publication date Collection: 2013
                Publication date (Electronic): 18 February 2013
                Volume: 6
                Pages: 61-69
                Affiliations
                Department of Dermatology, Hospital Central de la Cruz Roja, Madrid, Spain
                Author notes
                Correspondence: Montserrat Fernandez-Guarino, Hospital Central de la Cruz Roja, Avenida de Reina Victoria numero 24, Madrid 28003, Spain, Tel +34 91 453 8300, Fax +34 91 5346 066, Email montsefdez@ 123456msn.com
                Article
                Publisher ID: ccid-6-061
                DOI: 10.2147/CCID.S27482
                PMC ID: 3581287
                PubMed ID: 23450851
                SO-VID: 51b69db3-6fe3-4edf-ab06-7e72dbc141f5
                Copyright © © 2013 Fernandez-Guarino, publisher and licensee Dove Medical Press Ltd.
                License:

                This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.

                History
                Categories
                Subject: Review

                ScienceOpen disciplines: Dermatology
                Keywords: mycosis fungoides,topical treatments,excimer light,photodynamic therapy
                Data availability:
                ScienceOpen disciplines: Dermatology
                Keywords: mycosis fungoides, topical treatments, excimer light, photodynamic therapy

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