Subcutaneous
panniculitis -like
T cell lymphoma (SPTL) is a distinctive cutaneous
lymphoma characterized by an infiltration of
subcutaneous tissue by neoplastic
T cells ,
similar to
panniculitis . It is well-established that
patients who are diagnosed with SPTL usually respond poorly to
chemotherapy , showing
fatal outcome . As a first line
treatment for SPTL,
anthracycline -based
chemotherapy was most frequently used. For the
treatment of SPTL, the
efficacy of
cyclosporine A has been recently reported in relapsed SPTL after
anthracycline -based
chemotherapy . However, it is still not clear whether
cyclosporine A can be used as a first-line
treatment against SPTL. Here, we
report a case of SPTL, which achieved complete remission for nine years after first-line
cyclosporine A therapy . This study suggests that
cyclosporine A can induce a complete long-term remission as a first-line
treatment .