Cutaneous Anaplastic Large Cell Lymphoma, ALK postive- ALKOMA

In general medical practice coetaneous swelling with redness and bad smelly discharge is generally common. Although we agree that in most cases an inflammatory process is the most likely diagnosis, and resolution, either spontaneously or with the aid of antibiotic is the rule. This rule must not be always applied, mainly if the process persists for more than one month or increase in size. And in this case a biopsy is of great help. In this day we present a 22 yrs old pregnant lady with inguinal ulcerated mass since 12 months managed as cutaneous abscess and treated with drainage and antibiotics. Finally the mass reached around 10 cm in diameter without any improvement. So an open biopsy was performed and the pathological diagnosis is cutaneous an plastic large cell lymphoma ( ALCL ) ALK + ( Alkoma ). It is important to separate this ALK Pos entity which has an excellent prognosis from cases of ALK Neg which have a poorer prognosis.