AUCTORES
Globalize your Research
Review Article | DOI: https://doi.org/10.31579/2640-1053/055
*Corresponding Author: Yong-Moon Lee, Department of Pathology, Dankook University School of Medicine 201 Manghyang-Ro, South Korea
Citation: Seungkyu Choi and Yong-Moon Lee. To be a “Lymphomatoid Papulosis Type E” or not to be? That Is a Question, J. Cancer Research and Celllular Therapeutics. 3(1) Doi: 10.31579/2640-1053/055
Copyright: © 2019 Yong-Moon Lee, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium,provided the original author and source are credited
Received: 16 July 2019 | Accepted: 08 October 2019 | Published: 18 October 2019
Keywords: Keywords
Abstract
Lymphomatoid papulosis (LyP) Type E is a recently introduced subtype of LyP presenting with escar-like lesions and characterized with angiocentric invasion of dermal blood vessels by CD30 positive atypical lymphocytes resulting necrosis of their walls. Owing to its considerable histologic characteristics such as dense dermal infiltration of CD30 positive large atypical lymphocytes showing high mitotic activity, and angiodestructive invasion, it is challengible to discriminate LyP Type E to aggressive cutanoues lymphomas.
1.Histological classification of LyP
Primary cutaneous CD30 positive T-cell lymphoproliferative disorder (LPD), clinically characterized by a variable number of self-healing papulonodular lesions, with typical waxing and waning course, which represent the second most common form of cutaneous T-cell lymphoma [1]. Histologically, five different LyP Types have been delineated. LyP type A shows scatterd or grouped CD30 positive large pleomorphic or anaplastic lymphoid cells in the background of neutrophils and eosinophils, type B exhibits epidermotropic infiltrate of small lymphocytes, and type C displays cohesive sheets of atypical lymphoid cells with only a few admixed reactive cells. Type D is characterized by epidermotropic infiltrates of CD8 positive and CD30 positive atypical cells and mimics primary cutaneous aggressive epidermotropic CD8 positive cytotoxic T-cell lymphoma. Histological features of four types of LyP were summarized in Fig. 1. Overlapping features can be found in individual lesions, and different lesions in the same patient may exhibit different histological types. Recently, angioinvasive LyP was identified as a new histological type and referred to as type E [2]. We recently reported a case of LyP type E showing diffuse CD56 and Granzyme-B positive immunophenotype in an immunocompetent 34-year-old man with a history of four year self-healing some erythematous nodules on his extrimities [3], which has been scarcely known that only three cases of CD56 positive LyP Type E developed in a 36-year-old woman with asymptomatic ulcerated papules on her neck, abdomen, and arm intermittently occurred for 10 years [4], a 40-year-old woman presenting disseminated skin lesions repeatly wax and wane clinical course for 20 years [5], and in a 76-year-old man menifested with right forearm lesions eventually scar-formed after 4 years [2], and discuss the clinicopathologic findings, differential diagnosis within the spectrum of CD30 positive LPD.
2.Typical scenario based on my experience
34-year-old man presented with a 4-year history of relapsing self-healing erythematous nodules on extremities. Until now, about 20 lesions have been occurred mainly in the limbs, and these lesions have developed 2-3 lesions at one timeand improved spontaneously with mild scar. He denied notable weight loss, fever and lymphadenopathy. His laboratory test results were within normal ranges and anti-HIV antibody was negative. On physical examination, the patient had 2 well-defined erythematous nodules on the left distal arm and right proximal arm that rapidly evolve into ulceration (Fig 2A,B). The central part manifested a hemorrhagic necrotic crust and had an eschar-like appearance (Fig 2C). In view of the wax and waning nature of the lesions and the patient’s medical history, incisional biopsy was subsequently performed. Histologic assessment showed a profound epidermal and superficial dermal necrosis due to vessel wall destruction by atypical lymphoid cells (Fig 2E,F). In deep dermis, marked lymphoid cell infiltration intervining subcutaneous fat, and destructing vessel walls noted (Fig 2G,H). This lesion consisted of monotonous neoplastic lymphocytic cells with medium to large-sized slightly irregular nuclei, coarse chromatin, and prominent nucleoli (Fig 2I). To explore these histologically considerable lymphocytic lesions, an immunohistochemical study was conducted: the medium to large-sized atypical lymphoid cells were positive for CD3, CD4, CD8, CD30, CD56, and Granzyme-B, but negative for CD20, CD79a, ALK, and Epstein-Barr virus encoded RNA in situ hybridization (EBER-ISH) . The Ki-67 labeling index was nearly 90% (Fig 2J-P). Considering the unique clinical presentation and all of these histologic findings, the diagnosis of LyP Type E showing diffuse CD56 and Granzyme-B positive immunophenotype was made. A systemic lymphoproliferative disorder could not be excluded and the patient was referred for a hematological opinion. Medical imaging and blood investigations excluded a systemic lymphoproliferative disorder and any underlying cause of immunosuppression. Regrettafully, a polymerase chain reaction (PCR) for T-cell receptor (TCR) gene rearrangements in our patient can not be done due to his refusal. At regular follow-ups, the patient remained asymptomatic, and reported no further episodes of skin problems and the lesions evolved over 2 months and healed with atrophic scars without any treatment (Fig 2D).
LyP is a chronic, recurrent, self-healing papulonodular eruption with a potential association with myosis fungoides, CD30 positive anaplastic large cell lymphoma, or Hodgkin disease. Microscopically, LyP is characterized by clusters of CD30 positive large and often anaplastic cells among heterogeneous inflammatory infiltrates. As newly introduced subtype of LyP, Type E, characterized clinically by oligolesional papules that evolve into necrotic eschar-like lesions with spontaneous regression and microscopically by typical angiocentric invasion of dermal blood vessels by CD30 positive atypical lymphocytes resulting necrosis of their walls [2]. Histologically, differential diagnosis of LyP type E includes nasal type extranodal NK/T-cell lymphoma, primary cutaneous T-cell lymphoma, primary cutaneous anaplastic large cell lymphoma. Nasal type extranodal NK/T-cell lymphoma is an aggressive lymphoma with angiocentric and angiodestructive infiltrates of CD3 positive, CD8 equvocal, CD56 positive, and necrosis, but in contrast to LyP type E, tumor cells usually lack expression of CD30 [6]. A subset of atypical cells express CD30 in nasal type extranodal NK/T-cell lymphoma, and in other T-cell or NK-cell tumors, but it is rarely expressed by the majority of atypical cells in these neoplasms. Moreover, it is linked to Epstein Barr virus (EBV) in virtually all cases, whereas none of LyP type E cases was associated with EBV as demonstrated by the absence of EBV assessed by in situ hybridization [7]. Finally, nasal type extranodal NK/T-cell lymphoma spreads to extracutaneous sites and has a poor prognosis [8]. Primary cutaneous T-cell lymphoma, which may present with angiocentric or subcutaneous infiltrates and ulcers, exhibit a poor prognosis, expresses dominant CD4 or CD8 positivity in tumor cells. In our case, atypical lymphoid cells stained for both CD4 and CD8 with indolent clinical course. LyP type E shares features with primary cutaneous anaplastic large cell lymphoma and borderline lesions, in which rarely angiocentric infiltrates [9]. This is probably the most challenging differential diagnosis as only a few or even a solitary lesion may be present at a given time, thus seriously limiting application of the general clue of multiple lesions in LyP versus a solitary lesion in anaplastic large cell lymphoma. The recurrent lesions are in favor for LyP but this feature may require follow-up. The overlapping features between LyP and primary cutaneous anaplastic large cell lymphoma, however, is emphasized by their categorization as part of the spectrum of CD30 positive LPD. LyP type E differs from anaplastic large cell lymphoma by angiocentric infiltrates of CD30 positive CD8 positive atypical lymphocytes [10, 11]. Several reports of cytotoxic T-cell origin in LyP have been known [2-5, 8, 12-16], but little has been knwon of clinical differences of LyP type E with CD56 and Granzyme-B expressed immnophenotype. The CD56, a monoclonal antibody against the neural cell adhesion molecule, was initially identified as a surface molecule of CD16 positive natural killer (NK) cells with the morphology of large granular lymphocytes. A CD56 is the archetypal phenotypic marker of natural killer cells but can actually be expressed by many more immune cells, including α/β T-cells, γ/δ T-cells, CD4 positivie T-cells, CD8 positive T-cells, dendritic cells, and monocytes. Common to all these CD56-expressing cell types are strong immunostimulatory effector functions, including T helper 1 cytokine production and an efficient cytotoxic capacity and these cells are found in various infectious, autoimmune, or malignant diseases [17]. Furthermore, in current clinical trials cancer patients with CD56 positive tumors are being treated with a CD56-targeting antibody drug [18], and increased CD56 positive T-cells seems to be effective to distinct populations of metastatic melanoma patients responding to anti-PD-L1 therapy [19]. Although cutaneous lymphomas expressing CD56, such as skin infiltration of acute myeloid leukemia, nasal type extranodal NK / T-cell lymphoma, and blastic NK-cell lymphoma, generally characterized by a highly aggressive clinical course and poor prognosis [8], according to several reports to date, CD56 positive immunophenotype in LyP seems to have an excellent prognosis like classic LyP. To date, four cases of CD56 positive LyP type E, including our case, also showed an excellent prognosis. Recently, we described a clinically and histologically LyP type E showing aberrant CD56 and Granzyme-B expression strongly, which presenting recurrent some papulonodular lesions with eschar-like change and scar formation throughout his extremities for years. These lesions follow an indolent course and has an excellent prognosis with spontaneous regression and recurrences, following a characteristic feature of LyP type E despites of strong CD56 and Granzyme Bpositivity in tumor cells. As this is a newly introduced disease, little has been known about its clinical settings. . Unfortunately, no immunohistochemical markers or TCR gene rearrangement test mentioned above can lead a right diagnosis. Only eschar-like lesions showing wax and wane pattern clinically without lymphadenopathy are able to tell you the answer, therefore careful history taking and scrupulous physical examination are mandantory, which is already known as a way to be good physicians. More collective studies are necessary to unravel possible clinical differences, and to comparatively analyse histomorphology, and molecular alterations among LyP with / without CD56 positive immunophenotype, especially when it comes to CD56 positive LyP Type E.
Funding: No fund assisted.
The authors declare that they have no conflict of interest.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
