Overview

Cutaneous T-cell lymphoma (CTCL) is a rare type of cancer that begins in white blood cells called T cells (T lymphocytes). These cells normally help your body's germ-fighting immune system. In cutaneous T-cell lymphoma, the T cells develop abnormalities that make them attack the skin.

Cutaneous T-cell lymphoma can cause rash-like skin redness, slightly raised or scaly round patches on the skin, and, sometimes, skin tumors.

Several types of cutaneous T-cell lymphoma exist. The most common type is mycosis fungoides. Sezary syndrome is a less common type that causes skin redness over the entire body. Some types of cutaneous T-cell lymphoma, such as mycosis fungoides, progress slowly and others are more aggressive.

The type of cutaneous T-cell lymphoma you have helps determine which treatments are best for you. Treatments can include skin creams, light therapy, radiation therapy and systemic medications, such as chemotherapy.

Cutaneous T-cell lymphoma is one of several types of lymphoma collectively called non-Hodgkin's lymphoma.

Call your preferred Mayo Clinic location:

Symptoms

Signs and symptoms of cutaneous T-cell lymphoma include:

  • Round patches of skin that may be raised or scaly and might be itchy
  • Patches of skin that appear lighter in color than surrounding skin
  • Lumps that form on the skin and may break open
  • Enlarged lymph nodes
  • Hair loss
  • Thickening of the skin on the palms of the hands and soles of the feet
  • A rash-like skin redness over the entire body that is intensely itchy

Causes

The exact cause of cutaneous T-cell lymphoma isn't known.

In general, cancer begins when cells develop changes (mutations) in their DNA. A cell's DNA contains instructions that tell a cell what to do. The DNA mutations tell the cells to grow and multiply rapidly, creating many abnormal cells.

In cutaneous T-cell lymphoma, the mutations cause too many abnormal T cells that attack the skin. T cells are part of your immune system, and they normally help your body fight germs. Doctors don't know why the cells attack the skin.

Feb. 09, 2023

Living with cutaneous t-cell lymphoma?

Connect with others like you for support and answers to your questions in the Blood Cancers & Disorders support group on Mayo Clinic Connect, a patient community.

Blood Cancers & Disorders Discussions

roberthall0452
Anyone else have Mantle Cell Lymphoma?

90 Replies Sat, Dec 21, 2024

chadknudson
Polycythemia Vera and Nutritional Ketosis

55 Replies Sat, Dec 21, 2024

mjlandin
Does anyone else have MGUS?

874 Replies Sat, Dec 21, 2024

See more discussions
  1. AskMayoExpert. Mycosis fungoides and Sezary syndrome (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
  2. Hoffman R, et al. T-cell lymphomas. In: Hematology: Basic Principles and Practice. 7th ed. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Jan. 11, 2019.
  3. Bolognia JL, et al., eds. Cutaneous T-cell lymphoma. In: Dermatology. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2018. https://www.clinicalkey.com. Accessed Jan. 11, 2019.
  4. Primary cutaneous lymphomas. Plymouth Meeting, Pa.: National Comprehensive Cancer Network. https://www.nccn.org/professionals/physician_gls/default.aspx. Accessed Jan. 11, 2019.
  5. Warner KJ. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Oct. 4, 2018.

Related

Associated Procedures

Products & Services