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Image Based Question – 73784

Question

A 12-year-old boy presents with enlargement of bilateral cervical lymph nodes for 2 years. A biopsy from the lymph node reveals the following picture. Which of the following is the correct set of diagnosis, etiology and the cell described?

A. Hodgkin’s lymphoma; Epstein Barr Virus and Reed Sternberg cells

B. Hodgkin’s lymphoma; Epstein Barr Virus and Embryo cell

C. Non-Hodgkin’s lymphoma; HIV and Giant B cell

D. Tuberculosis, Mycobacterium and Tiny granuloma

 

Show Answer

Correct Answer » A

Explanation

Ans: A. Hodgkin’s lymphoma; Epstein Barr Virus and Reed Sternberg cells

(Ref: Robbins 9/e p608, 8/e p617)

  • Given slide demonstrates Reed-Sternberg cells typical of Hodgkin’s Lymphoma.
  • EBV infection – Risk factor for Hodgkin’s Lymphoma.

Reed-Sternberg cells & variants – Identification:

Diagnostic Reed-Sternberg cells:

  • Large cells (45 pm in diameter) with multiple nuclei or a single nucleus with multiple nuclear lobes, each with a large inclusion-like nucleolus about the size of a small lymphocyte (5 to 7 pm in diameter).
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