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Large-cell transformation of mycosis fungoides: Patterns of care and patient outcomes.


ABSTRACT: Large-cell transformation of mycosis fungoides (LCTMF) is rare, histologically distinct, with an aggressive clinical course; yet is not recognised as an independent entity in classification systems nor in staging systems for mycosis fungoides and Sézary syndrome (MF/SS). Herein, the patterns of care and survival outcomes for patients with LCTMF are described, with prognosis compared to published data of non-transformed MF/SS. Eligibility required clinicopathological diagnosis of LCTMF (1/1/1990-31/10/2021), managed at Peter MacCallum Cancer Centre. Eighty-three patients were eligible. Median follow-up was 8.0 years. At the time of LCTMF, 36% had early-stage MF (IA-IIA), 76% had cutaneous-only LCTMF. The most common first-line treatments were localised radiotherapy (48%) and multiagent chem

SUBMITTER: Johnstone P 

PROVIDER: S-EPMC12436213 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature