Assessment of a cutaneous anaplastic large T-cell lymphoma by real-time tissue elastography

Patients and methods: A 45-year-old man presented to our outpatient clinic with an indolent, rapidly growing circumscribed subcutaneous tumor on his right forearm. Three months ago, a large-plaque parapsoriasis had been diagnosed and treated successfully with UV-A1 phototherapy. Palpation and ultrasound of regional lymph nodes were unsuspicious. High resolution B-mode ultrasound (HRUS) with a 13 MHz probe (HI Vision Preirus, Hitachi Medical Systems GmbH, Wiesbaden, Germany) revealed an inhomogenous echopoor roundish structure mixed with echorich areas beneath an intact epidermis. Because of the inhomogenous B-mo…