This neoplasm is not reportable.

Name

Hydroa vaccinoforme lymphoproliferative disorder

ICD-O-3 Morphology

9725/1: Hydroa vacciniforme-like lymphoproliferative disorder
Effective 2021 and later

Reportability

This neoplasm is not reportable

Primary Site(s)

No primary site specified
Cutaneous primary sites only (C440-C449, C510-C512, C518-C519, C600-C602, C608-C609, C632)
This hematopoietic disease is not reportable for the U.S.
Canada, refer to your specific province for reportability requirements.

Abstractor Notes

Hydroa vaccinoforme lymphoproliferative disorder is part of the Mature T-cell and NK-cell neoplasms lineage table in the WHO 5th edition of Hematolymphoid Tumors. (See Appendix B in the Hematopoietic Manual, Table B20)

This histology was previous defined as 9725/3, Hydro vacciniforme-like lymphoma for years 2010-2020. If this diagnosis occurs within years 2010-2020, see 9725/3 and report the case. If diagnosed 2021+, it is not reportable.

In the classic form HVD, sun-exposed skin is involved. In the systemic form, there is often involvement of non–sun-exposed skin as well, in addition to multiorgan involvement (e.g. liver, spleen, lymph nodes, and very rarely, lung)

Systemic chronic active EBV disease involves multiple sites, most commonly the spleen and the liver, followed by the bone marrow, lymph nodes, skin, and lungs.

Alternate Names

Hydroa vacciniforme-like lymphoma (see 9725/3 prior to 2021)
Hydroa vaccinoforme-like lymphoproliferative disorder
Hydroa vacciniforme lymphoproliferative disorder, classic (Classic HV-LPD)
Hydroa vacciniforme lymphoproliferative disorder, systemic (Systemic HV-LPD)
Systemic chronic active EBV-positive disease

Definition

Hydroa vaccinoforme- (HV) like lymphoproliferative disorder is a chronic EBV-positive lymphoproliferative disorder of childhood, associated with a risk of developing systemic lymphoma. HV-like lymphoproliferative disorder is primarily a cutaneous disorder of polyclonal or (most often) monoclonal T cells or NK cells, which a broad spectrum of clinical aggressiveness and usually a long clinical course. As the disease progresses, patients develop severe and extensive skin lesions and systemic symptoms including fever, hepatosplenomegaly, and lymphadenopathy.

Classic HV, severe HV, and HV-like T-cell lymphoma constitute a continuous spectrum of EBV-associated HV-like lymphoproliferative disorder.

Definitive Diagnostic Methods

This data item does not apply

Genetics Data

This data item does not apply

Immunophenotyping

This data item does not apply

Corresponding ICD-10 Codes (Cause of Death codes only)

D47.7 Other specified neoplasms of uncertain or unknown behavior of lymphoid, hematopoietic, and related tissue

Corresponding ICD-10-CM Codes (U.S. only)

D47.Z9 Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue (effective October 01, 2015)

Signs and Symptoms

Fever
Hepatosplenomegaly
Lymphadenopathy
Papulovesicular eruption resulting in ulceration and scarring
Wasting

Diagnostic Exams

Blood chemistry studies
Bone marrow aspiration and biposy
CT (CAT) scan
Cytogenetic analysis
Flow cytometry
Immunohistochemistry
PET (positron emission tomography) scan

Progression and Transformation

Recurrent skin lesions for 10-15 years before progression to systemic involvement

Epidemiology and Mortality

Incidence: Uncommon (mostly seen in from Asia, Native Americans from Central and South America, Mexico)
Age: median age 16, range 4-60
Sex: M:F ratio 2-1
Survival: variable

Sources

WHO Classification of Tumours Editorial Board. Haematolymphoid tumours. Lyon (France): International Agency for Research on Cancer; 2024. (WHO classification of tumours series, 5th ed.; vol. 11). https://publications.iarc.who.int/637.
Section: Mature T- and NK-cell neoplasms
Pages: Part B: 774-776

International Classification of Diseases for Oncology, Third Edition, Second Revision. Geneva: World Health Organization, 2020
Section: ICD-O-3.2 (2020) Morphological Codes
Pages: http://www.iacr.com.fr/index.php?option=com_content&view=category&layout=blog&id=100&Itemid=577
Glossary