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Case 14

Hematopathology Case

Clinical information:

 

A 39-year-old male had an enlarged cervical lymph node for several years. He reported that he had night sweats for about 3 years off and on but that they had now become more frequent and severe and were to the point that they were drenching and required him to change his clothes often at night.  He also reported fatigue, nausea, arthralgias, and some occasional rashes between the digits on his hands.  He had not had any weight loss or fevers.  He also recalled that at age 19, he developed a lymph node in the groin that was biopsied and he was told was normal.  Clinical image studies showed lymphadenopathy up to 3.9 cm involving the left supraclavicular region extending into the left axilla.  A supraclavicular lymph node  was biopsied, which measured 3.5 3.5 1.2 cm.

     
 
 

HE, 2

HE, 4

 
 

HE, 10

HE, 10

 
 

HE, 20

HE, 20

 
 

HE, 20

HE, 20

 
 

HE, 20

HE, 40

 
 

HE, 40

HE, 40

 
 

HE, 40

HE, 40

 
 

HE, 60

HE, 60

 
 

HE, 40

HE, touch prep, 100

 
  Wright-Giemsa, touch prep, 100 Wright-Giemsa, touch prep, 100
     
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE