Abstract
Plasmacytoid dendritic cell neoplasm or BPCDN (blastic plasmacytoid dendritic cell neoplasm) is a rare and very aggressive malignant hematological pathology. It affects more frequently the male gender from the sixth decade of life. It generally manifests with skin lesions with subsequent involvement of the bone marrow, peripheral blood and neuromeningeal involvement. We report the case of a 73-yearold male patient, with asthenia, adynamia, anemia
and skin lesions at the level of the chest that could be compatible with leukemias. Flow cytometry (CF), karyotype and morphology in bone marrow, and biopsy of skin lesions were performed. The CF immunophenotype reported a BPCDN. Treatment was started and the patient currently has undetectable minimal residual disease.
References
Facchetti F, Petrella T, Pileri SA. Blastic plasmocitoid dendritic cell neoplasm. Swerdlow JS, Campos E, Harris N, Jaffe E et al. WHO classification of Tumours ofHaematopoietic and Lymphoid Tissues. 2017; Chapter 9:174-177.
ChengW, Yu T, Tang Ai-ping, He Young K, Yu L. Blastic Plasmacytoid Dendritic Cell Neoplasm: Progress in Cell Origin, Molecular Biology, Diagnostic Criteria and Therapeutic Approaches. Current Medical Science. 41(3):2021.
Sapienza MR, Pileri A, Derenzini E et al. Blastic Plasmacytoid Dendritic Cell Neoplasm: State of the Art and Prospects. Cancers (Basel). 2019 Apr 28;11(5):595.
Pagano L, Valentini C, Sara Grammatico S, Pulsoni A. Blastic plasmacytoid dendritic cell neoplasm: diagnostic criteria and therapeutical approaches. British Journal of Haematology. 2016;174:188-202.
Bueno C, Almeida J, Lucio P et al. Incidence and characteristics of CD4+/HLA DRhi dendritic cell malignancies. Haematologica. 2004;89:58-69.
Wang W, Khoury J, Miranda R et al. Immunophenotypic characterization of reactive and neoplastic plasmacytoid dendritic cells permits establishment of a ten-color flow cytometric panel for initial workup
and residual disease evaluation of blastic plasmacytoid dendritic cell neoplasm. Haematologica. 2021 Apr 1;106(4):1047-1055.
Van Dongen JJM, Lhermitte L, Bottcher S et al. EuroFlow antibody panels for standardized n-dimensional flow cytometric immunophenotyping of normal, reactive and malignant leukocytes. Leukemia. 2012 Sep;26(9):1908-75.
Pagano L, Valentini CG, Pulsoni A et al. Blastic plasmacytoid dendritic cell neoplasm with leukemic presentation: an Italian multicenter study. Haematologica. 2013;98:239-246.
All material published in the journal HEMATOLOGÍA (electronic and print version) is transferred to the Argentinean Society of Hematology. In accordance with the copyright Act (Act 11 723), a copyright transfer form will be sent to the authors of approved works, which has to be signed by all the authors before its publication. Authors should keep a copy of the original since the journal is not responsible for damages or losses of the material that was submitted. Authors should send an electronic version to the email: revista@sah.org.ar