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Published on: May 1, 2015
Intravascular large B-cell lymphoma colonizing cutaneous hemangiomas
Lorenzo Cerroni1, Iris Zalaudek, Helmut Kerl
1Department of Dermatology, University of Graz Medical School, Graz, Austria. lorenzo.cerroni@uni-graz.at
Summary
Intravascular large B-cell lymphoma (IVLBL) is a rare cancer where B cells grow inside blood vessels. This case shows IVLBL specifically affecting cherry hemangioma vessels in the skin.
Area of Science:
- Hematology
- Oncology
- Dermatology
Background:
- Intravascular large B-cell lymphoma (IVLBL) is a rare hematologic malignancy.
- It is defined by the proliferation of malignant B cells within the lumina of blood vessels.
- While often systemic, IVLBL can present with cutaneous manifestations.
Observation:
- This report details a unique case of IVLBL.
- The lymphoma was observed to colonize the vascular network of pre-existing cutaneous cherry hemangiomas.
- This specific localization highlights an unusual presentation of the disease.
Findings:
- The study identifies IVLBL within the vessels of cherry hemangiomas.
- This demonstrates a novel site of tropism for intravascular lymphoma.
- The findings expand the understanding of IVLBL's potential clinical presentations.
Implications:
- This case broadens the differential diagnosis for vascular skin lesions.
- It underscores the importance of considering IVLBL in atypical cutaneous presentations.
- Further research may elucidate mechanisms of lymphoma cell adhesion and proliferation within specific vascular beds.

