Case 44

A 76-year-old man presented to the ENT clinic with a new onset of a left neck mass. He had no associated pain of the area and denied any weight loss or night sweats. Because of the acute nature of the neck mass, a fine-needle aspiration (FNA) was performed, which showed atypical cells, but was otherwise nondiagnostic. A neck dissection showed a lymph node with lymphoma (Fig. 44.1). A bone marrow biopsy also revealed lymphomatous involvement (Figs. 44.2 and 44.3). After chemotherapy, the patient was in remission for six months, but he subsequently developed splenomegaly and pancytopenia. A splenectomy was performed (Fig. 44.4).