John S Bruun1, James D Rorabaugh. 1. Department of Surgery, David Grant Medical Center, Travis Air Force Base, California, USA.
Abstract
PURPOSE: Cutaneous T-cell lymphoma involvement of an ileostomy is a rare stomal complication. METHODS: We present the case of a 54-year-old man who presented with peristomal skin breakdown associated with fevers and chills. RESULTS: The stoma was taken down, and the surrounding skin debrided. A new ileostomy was created in left abdominal wall. Pathology specimens of the debrided skin, subcutaneous tissue, and stoma returned positive for cutaneous T-cell lymphoma. CONCLUSIONS: The medical treatment of the underlying T-cell lymphoma can give a good diagnosis when it is diagnosed early, but late-stage identification is less encouraging. The surgical treatment involves debridement and careful planning for ileostomy formation.
PURPOSE:Cutaneous T-cell lymphoma involvement of an ileostomy is a rare stomal complication. METHODS: We present the case of a 54-year-old man who presented with peristomal skin breakdown associated with fevers and chills. RESULTS: The stoma was taken down, and the surrounding skin debrided. A new ileostomy was created in left abdominal wall. Pathology specimens of the debrided skin, subcutaneous tissue, and stoma returned positive for cutaneous T-cell lymphoma. CONCLUSIONS: The medical treatment of the underlying T-cell lymphoma can give a good diagnosis when it is diagnosed early, but late-stage identification is less encouraging. The surgical treatment involves debridement and careful planning for ileostomy formation.