Cutaneous B cell lymphoma in a patient with leprosy

Authors report the case of a male patient treated in the Dermatology Department for cutaneous leprosy, and then sent to the Plastic Surgery Department for excisional biopsy of a giant shoulder nodule unresponsive to antibacilar chemotherapy and interpreted as a leprosy reaction. The extemporary histological result was of a cutaneous lymphoma and the defect was reconstructed with two random regional fasciocutaneous flaps, a rotation scapular flap and a transposition anterior brachial flap. The rarity of this association, not previously reported in the literature, and the success of the chosen surgical treatment motivated us to publish the case. We present the clinical evolution of the lesion, the surgical reconstructive option and the final result which we consider excellent from clinical, aesthetic and functional points of view.