Abstract
Mantle cell lymphoma (MCL) is a rare type of non-Hodgkin lymphoma that commonly affects
extranodal sites. The most commonly affected sites are the bone marrow, gastrointestinal
tract, Waldeyer's ring, lung, and pleura. We report the case of an 80-year-old diabetic
male, in MCL remission, who presented with a small dome-shaped nodule on his calf
and an ipsilateral second digit non-healing ulceration after a traumatic fall. Despite
surgical and conservative treatment, the wound worsened, resulting in histopathologic
examination, which confirmed the presence of lymphocytes, indicating MCL relapse.
This case was followed up for approximately 3 months until the patient died. Our case
is an example of pedal manifestations of skin involvement of MCL, which, on consideration
of the clinical manifestations also, can be confused with a nonhealing diabetic wound.
The clinical significance of our case study is to assist in the diagnosis, management,
and prognosis of a patient with MCL.
Level of Clinical Evidence
Keywords
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Article info
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
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© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
