A 13-year-old boy with lymphadenopathy. A clinical case from 🇮🇱 Israel. ⚠ A 13-year-old patient, an athlete, felt weakness and abdominal pain 2 weeks ago. For the last 3 days, he has experienced shortness of breath and noticed weight gain. ❗Examination revealed: lymphadenopathy of thoracic and retroperitoneal lymph nodes, hydrothorax (3 L of fluid removed), ascites (4 L). CBC showed mild leukocytosis and neutrophilia. LDH was elevated 4-fold. 💡 Cell phenotype of pleural, peritoneal fluids, and lymph node biopsy: CD45++/ CD19+Kappa/CD20+/CD10+/CD5-/CD23-/CD34-. ✅The photo shows a touch imprint from the lymph node. ❓What is the most likely diagnosis?
🔬The case was kindly shared by the Head of the Morphology/IFT Department of the Ha-Emek Medical Center Laboratory, Afula 🇮🇱Israel - Anna Belen.
