Aggressive "blastic" lymphoma in a patient with history of marginal zone lymphoma

    The patient was a 65 year old woman with an established history of  marginal zone lymphoma. 10 years after a period of quiescent disease she developed a new  lesion that was biopsied.
    The patient subsequently developed lymphadenopathy and died of disseminated disease 10 years after her initial diagnosis.   
    Case to be discussed at upcoming Dermpedia Cutaneous Hematopathology CME Course in Scottsdale, AZ