Primary cutaneous CD30-positive large cell lymphoma is a recently described
entity, recognized by immunohistochemical criteria. Spontaneous regression
may occur and although relapses are frequent, most patients have a favoura
ble prognosis. We describe a 83-year-old woman with a large ulcerated tumou
r on her right forearm, with 2 months evolution. Histological and immunohis
tochemical examination revealed a CD30-positive large cell lymphoma. System
ic involvement was not detected. The tumour regressed spontaneously. Cutane
ous relapses occurred one year later, all with spontaneous regression. Afte
r a 2-year follow-up period, the patient is well, without concurrent extrac
utaneous disease. This case is in keeping with other reports of spontaneous
regression and favourable outcome of this type of cutaneous lymphoma.