|
|
Line 260: |
Line 260: |
|
| |
|
| ===Intravascular large B-cell lymphoma=== | | ===Intravascular large B-cell lymphoma=== |
| ====General====
| |
| *[[AKA]] ''angiotropic lymphoma'', ''intravascular malignant lymphomatosis'', ''malignant angioendotheliomatosis''. | | *[[AKA]] ''angiotropic lymphoma'', ''intravascular malignant lymphomatosis'', ''malignant angioendotheliomatosis''. |
| | | {{Main|Intravascular large B-cell lymphoma}} |
| =====Clinical=====
| |
| *Often a non-specific presentation.<ref name=pmid11579120>{{cite journal |author=Lapkuviene O, Forchetti D, Roepke JE |title=Unusual sites of involvement by hematologic malignancies. Case 1. Intravascular large B-cell lymphoma presenting with CNS symptoms |journal=J. Clin. Oncol. |volume=19 |issue=19 |pages=3988–91 |year=2001 |month=October |pmid=11579120 |doi= |url=http://jco.ascopubs.org/content/19/19/3988.full}}</ref>
| |
| **+/-Fever.
| |
| **+/-Multiple infarcts.
| |
| **+/-Non-specific skin lesions.
| |
| | |
| ====Microscopic====
| |
| Features:
| |
| *Abundant atypical intravascular lymphoid cells that are:
| |
| **Large (~2-3X size of a mature lymphocyte or RBC).
| |
| **Nucleolus prominent.
| |
| | |
| Notes:
| |
| *It may be hard to find RBCs in the vessels.
| |
| *Looks sorta like a [[DLBCL]] -- but is intravascular.
| |
| | |
| =====Images=====
| |
| <gallery>
| |
| Image:Intravascular_lymphoma_-_high_mag.jpg | Intravascular lymphoma - high mag. (WC/Nephron)
| |
| Image:Intravascular_lymphoma_-_very_high_mag.jpg | Intravascular lymphoma - very high mag. (WC/Nephron)
| |
| </gallery>
| |
| www:
| |
| *[http://jco.ascopubs.org/content/19/19/3988/F1.expansion.html ILBCL (ascopubs.org)].<ref name=pmid11579120/>
| |
| *[http://theoncologist.alphamedpress.org/cgi/content/full/11/8/923/F1 ILBCL in bone marrow (alphamedpress.org)].
| |
| *[http://annonc.oxfordjournals.org/content/13/9/1503/F1.expansion.html ILBCL - various images (oxfordjournals.org)].
| |
| *[http://path.upmc.edu/cases/case473/images/fig01a.jpg ILBCL (upmc.edu)].<ref>URL: [http://path.upmc.edu/cases/case473.html http://path.upmc.edu/cases/case473.html]. Accessed on: 21 January 2012.</ref>
| |
| *[http://path.upmc.edu/cases/case697.html ILBCL - several images (upmc.edu)].
| |
| | |
| ====IHC====
| |
| Features:<ref name=pmid11579120/>
| |
| *CD20 +ve - '''key feature'''.
| |
| *CD3 -ve.
| |
| *CD34 -ve.
| |
|
| |
|
| ==Burkitt's lymphoma== | | ==Burkitt's lymphoma== |