‘Red Herring’ in the Pathology of Cervical Lymph node
Journal Title: International Journal of Medical and Health Sciences - Year 2015, Vol 4, Issue 1
Abstract
The causes of cervical lymphadenopathy can be multiple from reactive, infectious to neoplastic. Rarely a combination of infective and neoplastic process can be the cause of lymphadenitis. One may distract the presence of other and hence a careful evaluation is essential not to miss both the lesions. Neoplastic process can be of primary or metastatic deposit from a malignant tumor. We report a case of Hodgkin lymphoma and tuberculosis coexisting in a 30 years old female patient. Both Hodgkinlymphoma (HL) and tuberculosis (TB)can share the same clinical and laboratory findings. Few studies show misdiagnosis of Hodgkin as tuberculosis and were started on antituberculosis treatment. In countries where tuberculosis is endemic, the association between Hodgkin and tuberculosis must always be considered. A 30 years old female presented with cervical lymphadenopathy of one year duration .She was diagnosed to have tuberculosis and was started on antituberculosis treatment. She completed the course of treatment and there was no regression in the size of the lymph node. Then repeat FNAC followed by biopsy of the lymph node was done. The diagnosis of Hodgkin lymphoma and tuberculosis was made on both FNAC and histopathology which was confirmed with immunohistochemistry. Quantiferon test for tuberculosis was found to be positive. The case is presented to highlight the importance of diagnosing the coexisting Hodgkin lymphoma with tuberculosis.
Authors and Affiliations
Veena. G, V. Rajalakshmi, K. Meenakshisundaram, Sathish Selvakumar, K. Rajeswari
Keywords
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