We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Correspondence |

“Cutaneous T-Cell Lymphoma”: Cutaneous TNMania in Cutaneous Lymphomas

Peter Heald, MD
Arch Dermatol. 2009;145(7):842-843. doi:10.1001/archdermatol.2009.135.
Text Size: A A A
Published online


In the recent consensus statement on granulomatous mycosis fungoides and granulomatous slack skin (GSS),1 there was a misuse of the TNM staging terminology in Table 1. This misuse will not affect outcomes for patients with either disease, but it reflects the confusion that still abounds in the field of cutaneous lymphoma.

Nomenclature is the foundation of our specialty. Shortcuts are the bane of our specialty. I suspect that the mistake made in this article1 resulted from an attempt at expediency of reporting rather than a lack of the authors' understanding of the science. Indeed, one of the many authors listed is on record as affirming that the TNM system was developed for mycosis fungoides, not for variants like follicular mucinosis or, in the case of the article in question, GSS. In Table 1, under the heading “Granulomatous Slack Skin,” the patients are listed as having their stages assigned by TNM. Granulomatous slack skin is not the disease that defined the TNM system used for mycosis fungoides.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





July 1, 2009
Werner Kempf, MD
Arch Dermatol. 2009;145(7):843. doi:10.1001/archdermatol.2009.136.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles