Simultaneous occurrence of follicular lymphoma and mixed-cellularity Hodgkin's lymphoma: lymph node and extranodal involvement

An unusual and well-characterised case of composite lymphoma in the spleen and lymph node is presented. The simultaneous occurrence of mixed-cellularity Hodgkin's lymphoma (HL) and follicular non-Hodgkin's lymphoma (NHL) was demonstrated in a 66-year-old man admitted in our Service with an...

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Main Authors: Maria do Patrocínio F. Grangeiro, Sílvia Maria M. Magalhães, Francisco Valdeci A. Ferreira, Francisco Dário Rocha Filho
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2004-02-01
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442004000100009&tlng=en
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author Maria do Patrocínio F. Grangeiro
Sílvia Maria M. Magalhães
Francisco Valdeci A. Ferreira
Francisco Dário Rocha Filho
author_facet Maria do Patrocínio F. Grangeiro
Sílvia Maria M. Magalhães
Francisco Valdeci A. Ferreira
Francisco Dário Rocha Filho
author_sort Maria do Patrocínio F. Grangeiro
collection DOAJ
description An unusual and well-characterised case of composite lymphoma in the spleen and lymph node is presented. The simultaneous occurrence of mixed-cellularity Hodgkin's lymphoma (HL) and follicular non-Hodgkin's lymphoma (NHL) was demonstrated in a 66-year-old man admitted in our Service with anaemia, hepatosplenomegaly and multiple abdominal lymph nodes. The morphological study of the spleen and lymph node of the splenic hilum showed an infiltrate composed of two distinct neoplasias. The liver was involved by NHL infiltrate and the peripancreatic lymph node exhibited HL. The Reed-Sternberg (RS) cells expressed CD 15 and CD 30, whereas the NHL cells presented standard immunohistochemical features of follicular lymphoma. To our knowledge, this is the fifth case report of concurrent spleen involvement by composite lymphoma. The incidence, clinicopathological and immunohistochemical features of this rare association are discussed.
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spelling doaj.art-fadc7bd85c254d19b433c65703c82ba42022-12-21T17:42:43ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1678-47742004-02-01401333610.1590/S1676-24442004000100009Simultaneous occurrence of follicular lymphoma and mixed-cellularity Hodgkin's lymphoma: lymph node and extranodal involvementMaria do Patrocínio F. Grangeiro0Sílvia Maria M. Magalhães1Francisco Valdeci A. Ferreira2Francisco Dário Rocha Filho3Universidade Federal do CearáUniversidade Federal do CearáUniversidade Federal do CearáUniversidade Federal do CearáAn unusual and well-characterised case of composite lymphoma in the spleen and lymph node is presented. The simultaneous occurrence of mixed-cellularity Hodgkin's lymphoma (HL) and follicular non-Hodgkin's lymphoma (NHL) was demonstrated in a 66-year-old man admitted in our Service with anaemia, hepatosplenomegaly and multiple abdominal lymph nodes. The morphological study of the spleen and lymph node of the splenic hilum showed an infiltrate composed of two distinct neoplasias. The liver was involved by NHL infiltrate and the peripancreatic lymph node exhibited HL. The Reed-Sternberg (RS) cells expressed CD 15 and CD 30, whereas the NHL cells presented standard immunohistochemical features of follicular lymphoma. To our knowledge, this is the fifth case report of concurrent spleen involvement by composite lymphoma. The incidence, clinicopathological and immunohistochemical features of this rare association are discussed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442004000100009&tlng=enComposite lymphomaSpleenLymph nodeFollicular lymphomaHodgkin's lymphoma
spellingShingle Maria do Patrocínio F. Grangeiro
Sílvia Maria M. Magalhães
Francisco Valdeci A. Ferreira
Francisco Dário Rocha Filho
Simultaneous occurrence of follicular lymphoma and mixed-cellularity Hodgkin's lymphoma: lymph node and extranodal involvement
Jornal Brasileiro de Patologia e Medicina Laboratorial
Composite lymphoma
Spleen
Lymph node
Follicular lymphoma
Hodgkin's lymphoma
title Simultaneous occurrence of follicular lymphoma and mixed-cellularity Hodgkin's lymphoma: lymph node and extranodal involvement
title_full Simultaneous occurrence of follicular lymphoma and mixed-cellularity Hodgkin's lymphoma: lymph node and extranodal involvement
title_fullStr Simultaneous occurrence of follicular lymphoma and mixed-cellularity Hodgkin's lymphoma: lymph node and extranodal involvement
title_full_unstemmed Simultaneous occurrence of follicular lymphoma and mixed-cellularity Hodgkin's lymphoma: lymph node and extranodal involvement
title_short Simultaneous occurrence of follicular lymphoma and mixed-cellularity Hodgkin's lymphoma: lymph node and extranodal involvement
title_sort simultaneous occurrence of follicular lymphoma and mixed cellularity hodgkin s lymphoma lymph node and extranodal involvement
topic Composite lymphoma
Spleen
Lymph node
Follicular lymphoma
Hodgkin's lymphoma
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442004000100009&tlng=en
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