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Clinical history
61 yo M with HIV and new axillary and mediastinal LAD
Diagnosis
Positive for malignancy- HHV8-positive large cell lymphoma, consistent with primary effusion lymphoma NOTE: The pleural fluid specimen consists of abundant large, atypical lymphoid cells with oval to irregular, convoluted nuclei, dispersed chromatin, and multiple small, prominent nucleoli with a moderate amount of brightly eosinophilic cytoplasm. Immunohistochemistry reveals that the large lymphoid cells stain positively for HHV8 and CD30. CD3 shows weak staining in rare large lymphoid cells and highlights a small population of admixed small, reactive T cells. CD20 and Pax-5 are negative. In-situ hybridization for EBV (EBER) is negative. Overall, the morphologic and immunohistochemical features are consistent with HHV8-related primary effusion lymphoma. An unusual feature is the absence of EBV as most primary effusion lymphomas are co-infected by HHV8 and EBV.
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Sequence | Case | Clinical history |
---|---|---|
1 | WSI21-134-Case-1 WSI21-134-Case-1 | 18-year-old male. History of glioblastoma. 18-year-old male. History of glioblastoma. |
2 | WSI21-134-Case-2 WSI21-134-Case-2 | 80yo M with left-sided pleural effusion 80yo M with left-sided pleural effusion |
3 | WSI21-134-Case-3 WSI21-134-Case-3 | 69yo F with pleural effusion 69yo F with pleural effusion |
4 | WSI21-134-Case-4 WSI21-134-Case-4 | 48M, kidney failure. Pleura FNA. 48M, kidney failure. Pleura FNA. |
5 | WSI21-134-Case-5 WSI21-134-Case-5 | Over 90-year old male with significant asbestos exposure Over 90-year old male with significant asbestos exposure |
6 | WSI21-134-Case-6 WSI21-134-Case-6 | Pericardial effusion and history of parotid mass and atrial mass Pericardial effusion and history of parotid mass and atrial mass |
7 | WSI21-134-Case-7 WSI21-134-Case-7 | 33F. Peritoneal carcinomatosis. 33F. Peritoneal carcinomatosis. |
8 | WSI21-134-Case-8 WSI21-134-Case-8 | 45 y/old F Long Hx of ESRD post kidney transplant. New effusion, duodenal mass and peritoneal nodules. 45 y/old F Long Hx of ESRD post kidney transplant. New effusion, duodenal mass and peritoneal nodules. |
9 | WSI21-134-Case-9 WSI21-134-Case-9 | 41M. History of clear cell sarcoma of finger. 41M. History of clear cell sarcoma of finger. |
10 | WSI21-134-Case-10 WSI21-134-Case-10 | 73y/old F with right pleural effusion and flank pain. 73y/old F with right pleural effusion and flank pain. |