A 29-year-old woman has painless cervical and mediastinal lymphadenopathy that has progressed over 2 months. She reports drenching night sweats and pruritus but no sore throat, recent travel or cat exposure. Her full blood count is normal, and a lymph-node biopsy demonstrates large atypical cells in an inflammatory background with characteristic bilobed nuclei. Which diagnosis is most likely?
Keep going with ten more like this one.
Practise moreMore from Haematology and Oncology
See allA 54-year-old woman receiving adjuvant docetaxel and cyclophosphamide for breast cancer presents nine days after her second cycle with a temperature of 38.4 °C,…
Pre-internship · common
A 67-year-old man with prostate cancer on androgen deprivation therapy presents with two weeks of mid-back pain that is worse lying flat and wakes him at night.…
Pre-internship · common
A 66-year-old woman is on day 8 after an elective total hip replacement and has been receiving subcutaneous enoxaparin 40 mg daily since surgery. Her platelet c…
Pre-internship · niche
A 27-year-old woman of Greek background attends for pre-pregnancy advice. She feels well. A full blood count taken by her previous doctor shows: haemoglobin 108…
Clinical rotations · middle twist
A 29-year-old woman presents with headache, confusion and reduced urine output. She is pale and has scattered petechiae; investigations show haemoglobin 78 g/L…
Clinical rotations · middle twist