Cutaneous malignant lymphoma. Skin ulcer of lower leg

Cutaneous malignant lymphoma presenting as a skin ulcer of the lower leg is a relatively rare occurrence. The case presented is of an elderly Jamaican female with such an ulcer who was originally diagnosed as having stasis dermatitis. Because of the appearance of the ulcer, multiple biopsies were taken, and a cutaneous malignant lymphoma of the lymphocytic type was diagnosed. She refused surgical intervention and was treated with a combination of radiation therapy and chemotherapy with significant clinical improvement. The importance of appropriate application of biopsy in the differential diagnosis of leg ulcers has been discussed and stressed.