Neuromuscular

Intravascular Lymphoma (Angiotropic B-cell)

Brain
Muscle

IV Lymphoma: Muscle


H&E stain
Intravascular lymphoma
  Cells aggregated in regions of vessels, often adhering to wall

Gomori trichrome stain


H&E stain

Lymphoma cells in vessels

H&E stain


H&E stain

Large, pleomorphic neoplastic B-cells:
  In lumens of small &
    intermediate sized vessels

H&E stain

H&E stain
Irregular cells in Vessel lumens

Congo red stain


NADH stain
Hemosiderin (Brown) in endomysium

Acid phosphatase stain
Histiocytic cells in vessel walls

Intravascular cells in endoneurium stain for
  Leukocyte common antigen


Vessel walls stain for Ulex lectin

Intravascular lymphoma cells
  Mild staining with acid phosphatase

Acid phosphatase stain


CD20 stain   From: A Perry
CD20+ cells in vessels & connective tissue

CD20 stain
CD20+ cells in vessel walls


CD20 stain

CD20+ cells in vessel lumens



CD20 stain

CD20 stain

Intravascular B-cell lymphoma cells stain for: MUM-1 & BCL6

MUM-1 stain

BCL6 stain

Intravascular Lymphoma, B-cell: Brain


H&E stain
From: R Bucelli
IV Lymphoma: 2 Cell Populations
  Intravascular: Mostly B-cells (Right & Below)
  Vessel wall: CD3 cells & Histiocytes

H&E stain
From: R Bucelli
IV Lymphoma: 2 Cell Populations
  Intravascular: Mostly B-cells (Above)
  Vessel wall: CD3 cells & Histiocytes (Below)

H&E stain
From: R Bucelli


CD20 stain
From: R Bucelli
IV Lymphoma
  Intravascular: Mostly CD20+ B-cells (Above & Below)

CD20 stain
From: R Bucelli


CD3 stain
From: R Bucelli
IV Lymphoma
  Vessel wall: Mostly CD3+ Lymphocytes (Above & Below)

CD3 stain
From: R Bucelli

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2/8/2021