06-18-2007, 03:22 PM
A 16-year-old boy is brought to the emergency department because of respiratory distress. Examination shows a large mediastinal mass and 3-cm firm cervical lymph nodes bilaterally. Examination of tissue obtained on cervical lymph node biopsy shows small lymphocytes interspersed with binucleate cells with clear chromatin and large eosinophilic nucleoli. The most likely diagnosis is
A) Burkitt's lymphoma
B) diffuse noncleaved cell lymphoma
C) follicular lymphoma
D) Hodgkin's disease
E) lymphoblastic lymphoma
A) Burkitt's lymphoma
B) diffuse noncleaved cell lymphoma
C) follicular lymphoma
D) Hodgkin's disease
E) lymphoblastic lymphoma