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.