Can you recognize and treat mycosis fungoides?

Whenever lesions resembling psoriasis or nummular eczema remain unchanged for several months or do not respond to topical steroid therapy, mycosis fungoides should be suspected and multiple biopsies performed. Early diagnosis increases the possibility of destroying malignant cells before they involve internal organs. Early treatment is usually conservative, with topical steroids and occlusion. Topical nitrogen mustard, oral psoralens, long-wave ultraviolet light, and--ultimately--radiation are used as the disease progresses. Use of whole-body electron beam therapy appears promising.