A 25-year-old man presented with fatigue, malaise, and frequent bruising after minor injury. Peripheral blood examination showed a total leukocyte count of 2,500/μl, hemoglobin 11 g/dl and platelets 50,000/μl. Physical examination revealed hepatosplenomegaly, but no lymphadenopathy. As the patient was refractory to multiple blood transfusions, splenectomy was performed (Fig. 74.1). A liver biopsy (Figs. 74.2 and 74.3) was done at the same time. Subsequently, the patient had a bone marrow biopsy (Figs. 74.4 and 74.5) and an intestinal biopsy (Figs. 74.6 and 74.7), due to the presence of severe gastrointestinal symptoms. The patient had a lymph node biopsy several years ago due to a lymphoid neoplasm and had been in remission after chemotherapy.


Hodgkin Lymphoma Bone Marrow Biopsy Anaplastic Large Cell Lymphoma Intestinal Biopsy Nodular Lymphocyte Predominant Hodgkin Lymphoma 
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