Tuesday, March 23, 2010

Parotid swelling (17)

41 years, male patient C/O enlarged pre-auricular swelling. O/E generalized lymphadenopathy.
Biopsy from parotid gland; shows diffuse pleomorphic infiltration by small and large lymphocytes, plasma cells , many eosinophils on a background exhibiting prominent capillary patten and scattered mitotic figuers.
 I'm thinking about angioimmunoplastic lymphoproliferative disease Vs peripheral T cell lymphoma. I asked for lymph node biopsy, but not yet available. what is your suggestions?

5 comments:

  1. May you perform CD3, CD10, CXCL13 and EBV staining. I have suggestion of angioimmunoplastic T-cell Lymphoma.

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  2. Angioimmunoblastic proliferative disease is a good possibility but we have to do LCA, CD3,CD20
    and Cytokeratin.
    Maha Akl

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  3. Thank you all for your valuable comments. I already asked the surgeon to take a biopsy from other lymph node group. Immunophenotyping will follow. I will submit the results (in shaa Allah) when they become ready.

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  4. Hi tarek, please i want to know your final diagnosis of this case after immunophenotyping

    thanks Tarek


    Zeinab Omran

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