Case presentation
We are presenting a 58-year-old Tanzanian female patient who presented
at our outpatient otorhinolaryngology clinic at Benjamin Mkapa Hospital
with a 6-months history of low-grade fever and bilateral cervical and
submandibular lymph nodes.
On physical examination, the patient was found to have bilateral
cervical and submandibular lymphadenopathy and occasional low-grade
fevers. Local examination revealed multiple nodes with the largest one
measuring 5×5cm, ovoid, mobile in all directions and non-tender.
Laboratory results showed hemoglobin 11g/dl and elevated ESR (30mm/hour)
and a diagnosis of probable lymphoma was made. FNAC was ordered that
revealed a smear (hematoxylin and eosin stain used) showing histiocytes
with emperipolesis, scattered lymphoglandular bodies and also atypical
histiocytes with dense inflammatory infiltrates were noted suggestive of
RDD. (Figures 1, 2 and 3)
Figure 1 : Cytology smear showing histiocytes with
emperipolesis, lymphocytes and scattered lymphoglandular bodies.