Mycosis Fungoides Presenting With Multiple Tumors on the Face

TL;DR

An 84-year-old woman with mycosis fungoides showed tumor reduction on her face using a combination of electron beam therapy and bexarotene.

Contribution

This case demonstrates the effectiveness of electron beam therapy combined with bexarotene for facial tumors in mycosis fungoides.

Findings

Electron beam therapy combined with bexarotene reduced facial tumors in a patient with mycosis fungoides.

Topical steroids and UVB therapy showed limited improvement in the patient's condition.

The patient was diagnosed with Stage IIB mycosis fungoides based on biopsy results.

Abstract

An 84-year-old female experienced progressive erythema on her limbs and chest over the past year. Initially managed with topical steroids, the erythema eventually spread throughout her body, forming erosions. A biopsy confirmed the diagnosis of mycosis fungoides (MF) (Stage IIB, T2bN0M0B0). Treatment with oral bexarotene (300 mg/day) and narrow-band UVB therapy showed limited improvement. Electron beam therapy (30 Gy in 10 fractions) applied to facial and plantar tumors resulted in a reduction of the tumors. This case highlights the treatment of tumors of MF on the face showing the effectiveness of combining electron beam therapy with bexarotene.

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