Evidence map›Paper›PMID 41573437›Full record

ArticleCureus2025

Solitary Cutaneous Nodule as the Initial Presentation of Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma.

Brian A Moreno, Moises Lutwak, Eduardo Weiss, Saleeby Eli, Stanley Skopit

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Brian A MorenoDermatology, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Moises LutwakDermatology, Larkin Community Hospital, South Miami, USA.
Eduardo WeissDermatology, Hollywood Dermatology and Cosmetic Specialists, Hollywood, USA.
Saleeby EliDermatology, Skin and Cancer Associates Center for Cosmetic Enhancement, Aventura, USA.
Stanley SkopitDermatology, Larkin Community Hospital, South Miami, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) is an indolent mature B-cell neoplasm that may rarely involve the skin, where it can clinically mimic primary cutaneous B-cell lymphomas (PCBCLs). When the skin is involved, lesions often appear as erythematous or violaceous papules, plaques, or nodules on the head, neck, or trunk. An 85-year-old male presented for evaluation of slowly enlarging, asymptomatic nodules on the right upper back and left posterior shoulder that had been present for many years. A shave biopsy of the right upper back lesion revealed a nodular dermal infiltrate of small lymphocytes. Immunohistochemistry showed CD20, CD79a, CD23, CD5, and BCL2 positivity with low Ki-67, consistent with CLL/SLL. A second-opinion review at the National Institutes of Health confirmed the diagnosis and identified low-level marrow involvement by CLL/SLL. Whole-body positron emission tomography (PET) showed no hypermetabolic lymphadenopathy or visceral disease. The patient underwent excision of the back nodule with complex primary closure, and follow-up examinations have shown a well-healed scar without local recurrence. This case illustrates how CLL/SLL can present with a solitary cutaneous nodule and underscores the importance of histopathology and immunophenotyping in distinguishing secondary cutaneous involvement by systemic lymphoma from PCBCLs, as management and prognosis differ.

Indexed as

case report dermatologyclinical dermatologycomplex dermatologydermatology consultdermatology diagnosisdermatology screeningdermatology teachingmedical dermatologyoperational dermatologyskin disease/dermatology

Identifiers

PMID41573437
PMCPMC12823009

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.