title: Hodgkin's lymphoma mimicking tuberculosis in cervical lymph nodes.
abstract: The authors present a case description of an 81-year-old male with general symptoms (fever, night sweats, weight loss) and cervical/supraclavicular lymphadenopathy. The revised lymph node histopathological examination revealed nodular sclerosis classical Hodgkin's lymphoma associated with abundant tuberculosis-mimicking granulomatous reaction. The diagnosis may be difficult due to similarities in clinical course, laboratory tests and imaging. The morphology of Hodgkin-Reed-Sternberg cells and the immunohistochemical profile are the most helpful in differential diagnosis. In cases where granulomas coexist with negative acid-fast staining, pathologists should always recommend evaluation of further and broader diagnostic procedures to exclude Mycobacterium tuberculosis infection.
authors.affiliation: Anna Szumera-Ciećkiewicz Department of Diagnostic Hematology Institute of Hematology and Transfusion Medicine I. Gandhi 14 02-776 Warsaw, Poland tel. +48 22 349 62 96 fax +48 22 349 64 94 e-mail: szumann@gmail.com.
authors.forename: Anna
authors.initials: A
authors.lastname: Szumera-Ciećkiewic
authors.forename: Monika
authors.initials: M
authors.lastname: Prochorec-Sobieszek
authors.forename: Ewa
authors.initials: E
authors.lastname: Lech-Marańda
mesh_terms: D000369:Aged, 80 and over; D001706:Biopsy; D003937:Diagnosis, Differential; D006689:Hodgkin Disease / Q000175:diagnosis* / Q000473:pathology*; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008297:Male; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis*