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Marshall EH, Brumbaugh B, Holt A, Chen ST, Hoang MP. Cutaneous Intravascular Hematolymphoid Entities: A Review. Diagnostics (Basel) 2024; 14:679. [PMID: 38611591 PMCID: PMC11011375 DOI: 10.3390/diagnostics14070679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 03/04/2024] [Accepted: 03/08/2024] [Indexed: 04/14/2024] Open
Abstract
Intravascular lymphomas are rare disease conditions that exhibit neoplastic lymphoid cells that are confined mainly to the lumens of small capillaries and medium-sized vessels. The majority of the intravascular lymphomas are of B-cell origin, but they can include NK/T-cell and CD30+ immunophenotypes. In the histologic differential diagnosis are benign proliferations such as intralymphatic histiocytosis and intravascular atypical CD30+ T-cell proliferation. In this review, we discuss the clinical, histopathologic, and molecular findings of intravascular B-cell lymphoma, intravascular NK/T-cell lymphoma, intralymphatic histiocytosis, and benign atypical intravascular CD30+ T-cell proliferation.
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Affiliation(s)
| | - Bethany Brumbaugh
- Department of Dermatology, Massachusetts General Hospital, Boston, MA 02114, USA; (B.B.); (A.H.); (S.T.C.)
- Harvard Medical School, Boston, MA 02115, USA
| | - Allison Holt
- Department of Dermatology, Massachusetts General Hospital, Boston, MA 02114, USA; (B.B.); (A.H.); (S.T.C.)
- University of Massachusetts Chan Medical School, Worcester, MA 01655, USA
| | - Steven T. Chen
- Department of Dermatology, Massachusetts General Hospital, Boston, MA 02114, USA; (B.B.); (A.H.); (S.T.C.)
- Harvard Medical School, Boston, MA 02115, USA
| | - Mai P. Hoang
- Department of Pathology, Massachusetts General Hospital, Boston, MA 02114, USA;
- Harvard Medical School, Boston, MA 02115, USA
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Abdo M, Dykstra JA, Meyer A, Dai H. Giant papillary hemangioma-A rare tumor with an exceptional size. J Cutan Pathol 2024; 51:140-145. [PMID: 37916657 DOI: 10.1111/cup.14554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 10/01/2023] [Accepted: 10/18/2023] [Indexed: 11/03/2023]
Abstract
Papillary hemangioma (PH) is a recently described vascular tumor with a predilection for the skin of the head and neck. Histopathologically, it is characterized by a bland endothelial proliferation arranged in a papillary configuration, bearing resemblance to glomeruloid hemangioma seen in the context of polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes syndrome. The largest cutaneous PH reported to date measured 1.5 cm in greatest dimension. Here, we report a case of PH with an alarming size of 10 cm. We present this case to add to the limited literature on this rare tumor, highlight the histopathologic differences between PH and its mimics, and emphasize the variable nature of PH tumor size.
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Affiliation(s)
- Maryam Abdo
- Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Jordan A Dykstra
- Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Anders Meyer
- Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Hongyan Dai
- Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
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Berrino V, Berrino P. Lower Eyelid Complication After Blepharoplasty and COVID-19 Vaccination. Aesthetic Plast Surg 2023; 47:2573-2578. [PMID: 37580564 DOI: 10.1007/s00266-023-03532-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 07/17/2023] [Indexed: 08/16/2023]
Abstract
BACKGROUND Following COVID-19 mass vaccination campaign, new- and unknown-related reactions have emerged. CASE REPORT Four months after transcutaneous lower blepharoplasty and few days after the second dose of SARS-CoV-2 Pfizer mRNA vaccination, a 57-year-old man developed a bilateral palpebral ecchymosis. While the lesion healed spontaneously on the left side, the ecchymosis on the right lower lid did not regress. It presented swelling and hard consistency, clinically involving only skin layer. No alterations were revealed upon blood tests and instrumental evaluations. Histological examination showed lymphovascular hyperplasia on a probable reactive basis. The lesion was resistant to medical and surgical therapies. After 15 months, it regressed spontaneously. CONCLUSIONS In the reported case, an evident chronological relationship exists between surgical site and vaccine reaction, while other etiopathogenetic factors were excluded. This case represents a previously undescribed condition linking postvaccination reaction and long-term surgical outcome. LEVEL OF EVIDENCE V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Valeria Berrino
- Chirurgia Plastica Genova Srl, Via A.M. Maragliano 2, 16121, Genoa, Italy.
| | - Pietro Berrino
- Chirurgia Plastica Genova Srl, Via A.M. Maragliano 2, 16121, Genoa, Italy
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Knitzschke M, Rose C, Bartsch S, Schley G. [Firm elastic swelling and erythema on the shoulder in a 71-year-old male patient]. DERMATOLOGIE (HEIDELBERG, GERMANY) 2023; 74:140-142. [PMID: 36129482 DOI: 10.1007/s00105-022-05063-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/24/2022] [Indexed: 01/28/2023]
Affiliation(s)
- Maria Knitzschke
- Hautklinik und Hautkrebszentrum, Helios Kliniken Schwerin, Universitärer Campus der Medical School Hamburg, Wismarsche Str. 393, 19049, Schwerin, Deutschland.
| | | | | | - Gaston Schley
- Hautklinik und Hautkrebszentrum, Helios Kliniken Schwerin, Universitärer Campus der Medical School Hamburg, Wismarsche Str. 393, 19049, Schwerin, Deutschland
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Zagala R, Amico S, Laban E, Fontès-Plantade V, Beylot-Barry M, Pham-Ledard A. Primary intralymphatic histiocytosis: Case report and literature review. Ann Dermatol Venereol 2022; 149:298-305. [PMID: 35817611 DOI: 10.1016/j.annder.2022.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 02/15/2022] [Accepted: 05/24/2022] [Indexed: 12/31/2022]
Affiliation(s)
- R Zagala
- Dermatology department, CHU Bordeaux, 33000 Bordeaux, France.
| | - S Amico
- Dermatology department, CHU Bordeaux, 33000 Bordeaux, France
| | - E Laban
- Pathology practice, 33400 Talence, France
| | | | - M Beylot-Barry
- Dermatology department, CHU Bordeaux, 33000 Bordeaux, France; University Medical Research Unit (UMR) 1312, Bordeaux Institute of Oncology, Team 5 Translational Research on Oncodermatology and Orphean skin diseases, University of Bordeaux, 33000 Bordeaux, France
| | - A Pham-Ledard
- Dermatology department, CHU Bordeaux, 33000 Bordeaux, France; University Medical Research Unit (UMR) 1312, Bordeaux Institute of Oncology, Team 5 Translational Research on Oncodermatology and Orphean skin diseases, University of Bordeaux, 33000 Bordeaux, France
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Yang K, Pan CX, Russell-Goldman EE, Nambudiri VE. Characterization of intravascular papillary endothelial hyperplasia: a multicenter cohort. Clin Exp Dermatol 2022; 47:1550-1553. [PMID: 35297528 DOI: 10.1111/ced.15182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 03/09/2022] [Accepted: 03/14/2022] [Indexed: 11/27/2022]
Abstract
Intravascular papillary endothelial hyperplasia (IPEH) is an uncommon benign malformation of the skin and subcutaneous tissue. In this retrospective multi-center study, we aimed to investigate the clinical and pathological features of 261 IPEH cases. We classified IPEH into three categories from most common to least common: pure (50%), mixed (46%), and extravascular types (4%). IPEH frequently stained positive for immunohistochemical markers such as CD31, SMA, ERG, CD34. Clinicians' initial impression of the lesion often included ambiguous terms such as "soft tissue mass." There is an opportunity for increased awareness of this lesion and its consideration within a differential diagnosis.
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Affiliation(s)
- Kevin Yang
- Tufts University School of Medicine, Boston, MA, USA.,Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA
| | - Catherina X Pan
- Harvard Medical School, Boston, MA, USA.,Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA
| | - Eleanor E Russell-Goldman
- Harvard Medical School, Boston, MA, USA.,Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA
| | - Vinod E Nambudiri
- Harvard Medical School, Boston, MA, USA.,Department of Dermatology, Brigham and Women's Hospital, Boston, MA, USA
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Sandoval-Clavijo A, Albero-González R, Toll A. Sudden Development of Indurated Subcutaneous Nodules in a Patient With a Recent Melanoma Surgical Procedure. JAMA Dermatol 2022; 158:318-319. [PMID: 35080589 DOI: 10.1001/jamadermatol.2021.5689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
| | - Raquel Albero-González
- Department of Pathology, Hospital Clínic, Centre de Diagnostic Biomedic, Barcelona, Spain
| | - Agustí Toll
- Department of Dermatology, Hospital Clínic, University of Barcelona, Barcelona, Spain
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Sarró-Fuente C, Martín-Alcalde J, López-Estebaranz JL. Indurated Plaques With Telangiectasias on the Lower Limbs. JAMA Dermatol 2021; 157:1229-1230. [PMID: 34431961 DOI: 10.1001/jamadermatol.2021.3051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Claudia Sarró-Fuente
- Department of Dermatology, Hospital Universitario Fundación Alcorcón, Madrid, Spain
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Hung WK, Chen CB, Kuo TT, Chen WT. Pembrolizumab-induced benign atypical intralymphatic CD30 + T-cell proliferation mimicking intravascular lymphoma. J Dermatol 2021; 49:e53-e54. [PMID: 34580915 DOI: 10.1111/1346-8138.16166] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 09/03/2021] [Accepted: 09/04/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Wei-Kai Hung
- Department of Dermatology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.,College of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Chun-Bing Chen
- Department of Dermatology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.,College of Medicine, Chang Gung University, Taoyuan, Taiwan.,Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Tseng-Tong Kuo
- Department of Dermatology, Chang Gung Memorial Hospital, Taoyuan, Taiwan
| | - Wei-Ti Chen
- Department of Dermatology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.,College of Medicine, Chang Gung University, Taoyuan, Taiwan.,Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.,College of Medicine, Graduate Institute of Immunology, National Taiwan University, Taipei, Taiwan.,Department of Dermatology, Xiamen Chang Gung Hospital, Xiamen, China
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Johnson EF, Kelley BF, Gibson LE. Intravascular histiocytosis: mimicker of cellulitis, angiosarcoma, inflammatory breast cancer, and others. Int J Dermatol 2021; 61:306-309. [PMID: 34057196 DOI: 10.1111/ijd.15670] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 04/12/2021] [Accepted: 04/21/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Intravascular histiocytosis is an underrecognized reactive skin condition characterized by the clinical finding of poorly demarcated erythematous to violaceous patches and plaques. The diagnosis is confirmed by the histologic findings of intraluminal histiocytes on skin biopsy and exclusion of an alternative diagnosis. METHODS A review of patients with a histologic diagnosis of intravascular or intralymphatic histiocytosis and seen at Mayo Clinic, Rochester, Minnesota, from January 1, 2010, to October 10, 2020, was performed. Histologic and clinical information was collected from the medical records. RESULTS Nine patients were identified. Clinical impressions prior to biopsy varied widely, and no clinician included intravascular histiocytosis in the initial clinical differential diagnosis. Eight patients had preceding trauma to the affected area. CONCLUSION Intravascular histiocytosis remains a rare skin condition. Clinical identification remains low. Our cases add support to the hypothesis that intravascular histiocytosis is a reactive condition often preceded by trauma and/or surgery.
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