# 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.

## Key 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.