Lacrosse Player With Lymphadenopathy - Page #3

Lab Studies:
Hg/HCT 10.2/33, PLT 331, WBC 8.9, 5% eosinophils
Monospot negative
HIV, Lyme negative

Other Studies:
Ultrasound of neck: 3-5cm lymph nodes in supraclavicular and posterior cervical chains
Needle Biopsy: normal
Flow cytometry: normal

Chest xray: normal
PET CT: extensive tracer uptake in supraclavicular and posterior cervical chain lymph nodes
CT scan: No extranodal disease (for staging)
BM biopsy: reassuring

Excisional biospy: Nodular sclerosing Hodgkins Lymphoma Case Photo #1

Referred to hematology.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.

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