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Subcutaneous panniculitis-like T-cell lymphoma
Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare slow-growing (indolent) type of non-Hodgkin lymphoma (NHL). It is often mistaken for panniculitis, which is an inflammation of the fatty tissue under the skin.
SPTCL occurs most often in people who are 40 to 60 years old. More women develop SPTCL than men. Some people who develop SPTCL have an autoimmune disease (a disorder that causes the immune system to attack the body’s own tissue).
SPTCL causes lumps to form under the skin on the legs, chest, belly or back. These can become inflamed open sores. SPTCL usually only affects the skin. It doesn’t usually affect other parts of the body, such as the lymph nodes or bone marrow.
Some people with SPTCL develop a serious condition called hemophagocytic syndrome. It causes:
- larger than normal liver and spleen
- low numbers of red blood cells, white blood cells and platelets (called pancytopenia)
There is no standard treatment for SPTCL. You may be offered chemotherapy, other drugs or radiation therapy.
Combinations of chemotherapy drugs are usually given to treat SPTCL. A common combination used is CHOP:
- cyclophosphamide (Cytoxan, Procytox)
- doxorubicin (Adriamycin)
- vincristine (Oncovin)
Other drugs that may also be used to treat SPTCL are:
- corticosteroids such as prednisone
- drugs that suppress the immune system such as methotrexate or cyclosporine (Neoral)
External beam radiation therapy may be given to treat lumps under the skin.
Any steroid hormone that acts as an anti-inflammatory by reducing swelling and lowering the body’s immune response (the immune system’s reaction to the presence of foreign substances).
Corticosteroids are made by the adrenal gland. They can also be produced in the lab.
Great progress has been made
Some cancers, such as thyroid and testicular, have survival rates of over 90%. Other cancers, such as pancreatic, brain and esophageal, continue to have very low survival rates.