Case 108 – Update 1

Thank you to all the contributions so far!

We have now established that our 32 year old mans neck mass has been gradually increasing in size since he noted it 6 months ago. He has otherwise been well in himself except for feeling more tired. He has no other associated symptoms, no other medical conditions and no significant travel history. He is not on any medications.

His examination reveals unilateral cervical lymphadenopathy (approx 3cm).

An ultrasound demonstrated the mass was indeed a lymph node with disrupted architecture with an uniformly hypo‐echoic enlarged node with the loss of the fatty hilum.

Subsequently histology was obtained by an excision biopsy:



  1. Any suggestions on the diagnosis? What immunohistochemistry would you request to help?
  2. What further investigations would you perform?

Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #TeamHaem on Twitter for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Uncategorised. Bookmark the permalink.