Table 3.

Characteristic clinical and immunophenotypic features of various types of CTCL

Clinical featuresT-cell phenotypeCytotoxic proteinsCD56Major lineageEBV
MF Patches and plaques; (ulcerating) tumors in advanced stage CD3+, CD4+, CD8 − − αβ T cell − 
C-ALCL Solitary or localized nodules or tumors CD3+/−, CD4+, CD8, CD30+ − αβ T cell − 
SPTCL Subcutaneous nodules and plaques CD3+, CD4, CD8+ − αβ T cell − 
PCGD-TCL Ulcerating plaques and tumors CD3+, CD4, CD8−/+ γδ T cell − 
Extranodal NK/T-cell lymphoma (Ulcerating) plaques and tumors CD3+, CD4, CD8+ (surface CD3NK or γδ T cell 
CD8+ AECTCL Ulcerating plaques, nodules, and tumors CD3+, CD4, CD8+ − αβ T cell − 
Primary cutaneous acral CD8+ T-cell lymphoma Solitary papule or nodule on acral site (ear; nose) CD3+, CD4, CD8+ +/−* − αβ T cell − 
Primary cutaneous CD4+ small/medium T-cell LPD Solitary nodule or tumor on the face or upper trunk CD3+, CD4+, CD8, CD279/PD-1+ − − αβ T cell − 
Clinical featuresT-cell phenotypeCytotoxic proteinsCD56Major lineageEBV
MF Patches and plaques; (ulcerating) tumors in advanced stage CD3+, CD4+, CD8 − − αβ T cell − 
C-ALCL Solitary or localized nodules or tumors CD3+/−, CD4+, CD8, CD30+ − αβ T cell − 
SPTCL Subcutaneous nodules and plaques CD3+, CD4, CD8+ − αβ T cell − 
PCGD-TCL Ulcerating plaques and tumors CD3+, CD4, CD8−/+ γδ T cell − 
Extranodal NK/T-cell lymphoma (Ulcerating) plaques and tumors CD3+, CD4, CD8+ (surface CD3NK or γδ T cell 
CD8+ AECTCL Ulcerating plaques, nodules, and tumors CD3+, CD4, CD8+ − αβ T cell − 
Primary cutaneous acral CD8+ T-cell lymphoma Solitary papule or nodule on acral site (ear; nose) CD3+, CD4, CD8+ +/−* − αβ T cell − 
Primary cutaneous CD4+ small/medium T-cell LPD Solitary nodule or tumor on the face or upper trunk CD3+, CD4+, CD8, CD279/PD-1+ − − αβ T cell − 

PCGD-TCL, primary cutaneous γ/δ T-cell lymphoma; SPTCL, subcutaneous panniculitis-like T-cell lymphoma.

*

Expresses a nonactivated cytotoxic phenotype, positive for TIA-1, but negative for other cytotoxic proteins.

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