DZI19-36

From MGH Learn Pathology
Faculty Subspecialty Lecture
ARA Hematopathology UMass: Unusual B- and T-cell Lymphoproliferative Disorders

Case Clinical history Slides
Case Clinical history Slides
Case 1
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64-year-old woman with history of lupus on methotrexate, with prominent bilateral cervical and axillary lymphadenopathy (biopsy is of enlarged right axillary lymph node). Serum and urine protein and immunofixation electrophoresis showed abnormal banding (images of gels provided). 1
Case 2
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41-year-old HIV+ man with anemia, fevers, hepatosplenomegaly and generalized lymphadenopathy. 1
Case 3
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36-year-old HIV+ man with enlarged cervical lymph node. 1
Case 4
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49-year-old HIV-negative man with left-side pelvic-abdominal mass and multiple other masses in mesentery and retroperitoneum, but no other adenopathy. 1
Case 5
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73-year-old man with nodular lesions of left thigh leading to left leg swelling and edema. Found to have a large left groin lymph node on exam, which was biopsied. Staging PET/CT revealed multiple FDG-avid enlarged lymph nodes above and below diaphragm, along with FDG-avid subcutaneous nodules of left thigh. 1
Case 6
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53-year-old woman with history of right breast cancer 17 years prior, status post mastectomy and reconstructive surgery with bilateral silicone implants. Now with seroma around left breast for about 1 year. Seroma fluid aspirated and implant removed. Tissue from around the implant submitted for microscopic examination. 1
Case 7
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67-year-old woman with diffuse lymphadenopathy accompanied by 30lb weight loss over past year. Axillary lymph node biopsy performed; concurrent flow cytometry scatterplots provided. 1