Journal of clinical and experimental hematopathology : JCEH · 2018
A Case of Classical Hodgkin Lymphoma with Total Lymph Node Infarction.
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Okuni Marika, Yakushijin Kimikazu, Sakai Yasuhiro, Suto Hirotaka, Ichikawa Hiroya, Sakai Rina, Kakiuchi Seiji, Kurata Keiji, Mizutani Yu, Kitao Akihito, Miyata Yoshiharu, Saito Yasuyuki, Kawamoto Shinichiro, Yamamoto Katsuya, Ito Mitsuhiro, Matsuoka Hiroshi, Minami Hironobu
Аннотация
Lymph node infarction is very rare, and is frequently associated with neoplasms, such as malignant lymphoma and non-neoplastic disease, or interventions such as fine-needle aspiration (FNA). A 76-year-old-man presented with cervical lymph node swelling. Although FNA was performed, the findings were insufficient for a definitive diagnosis. Consequently, surgical biopsy of the cervical lymph node was performed, which revealed total infarction; a diagnosis of classical Hodgkin lymphoma was made later. Both lymphoma itself and FNA may cause total lymph node infarction, which makes diagnosis confusing. Therefore, it is important to repeat the biopsy rather than repeat FNA to correctly diagnose malignant lymphoma, including Hodgkin lymphoma.