Lacrosse Player With Lymphadenopathy - Page #3
 

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

Other Studies:
Ultrasound of neck: 3-5cm lymph nodes in supraclavicular and posterior cervical chains <br>Needle Biopsy: normal <br>Flow cytometry: normal <br> <br>Chest xray: normal <br>PET CT: extensive tracer uptake in supraclavicular and posterior cervical chain lymph nodes <br>CT scan: No extranodal disease (for staging) <br>BM biopsy: reassuring <br> <br>Excisional biospy: Nodular sclerosing Hodgkins Lymphoma <a href="CaseStudyImages/CS1LacrossePlayerwit-187.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a>

Consultations:
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, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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