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Cytologically Yours: CoW: 20131202

205 bytes added, 20:09, 14 January 2014
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====Resident Questions====
* <spoiler text="What is your differential diagnosis?">These groups of cells demonstrate malignant appearing cells in a background of an otherwise benign appearing lymphoid background. The atypical cells are scattered, with large nucleoli and several binucleate forms. In addition, there seem to be an increased number of eosinophils in the background. The differential diagnosis includes Hodgkin lymphoma; however, the possibility of the large atypical cells being melanoma cannot be ruled out. </spoiler>* <spoiler text="What ancillary tests would you call this on a Rapid Interpretationrecommend?">This is For this patient, we recommended that the radiologist perform a male patient with no previous history biopsy of malignancy. Our differential diagnosis can include many entities. However, these are cohesive cells the lesion so lymphoma should that it could be at sent for immunohistochemical workup. Since the bottom overall percentage of our list. We would need more information to classify these the atypical cellswere low, but we were worried that a diagnosis cell block would not contain enough of positive the malignant cells for additional stains. We also sent the lymph node for flow since a hematologic malignancy (was suspected; however, with no further specificity) can be renderedHodgkin lymphoma, we don't expect any diagnostic findings from flow cytometry.</spoiler>
===Biopsy===
==Final Diagnosis==
===Cytology===
* '''Positive for malignancy, the differential diagnosis includes melanoma and Hodgkin lymphoma'''.
===Biopsy===
* '''Metastatic prostatic adenocarcinomaClassical Hodgkin lymphoma, favor mixed type'''.
==Case Discussion==