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Kaplan Qbank USMLE



Author11 Posts
  #1

what is this?


Attached Files:
A.jpg (18 KB, 55 downloads)
attachment
Edited by p53 on 06/01/05 - 04:03 AM

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"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #2

and what is this?

Attached Files:
B.jpg (14 KB, 42 downloads)
attachment
___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #3

Burkitt lymphoma? "Starry sky"

  #4

No!

___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #5

some kinds of rossette?

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your life is in your hands

  #6

These are 2 subtypes of one disease, which were once lumped under one name. Typical picture of this disaese is this one.

Attached Files:
C.jpg (15 KB, 39 downloads)
attachment
___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #7

I think, it will be more easy to answer my questions about pictures now.

A 26-year-old man presents with a painless neck mass. He states, that after he drinks beer or wine, the neck mass becomes painful. He also complains of night sweats, pruritus, and weight loss over the last 3 months. On physical examination he has a 3 cm hard mass on the left side of the neck. Biopsy of this mass reveals picture, presented here (third picture, C). The tumor cells are CD15 +, CD30 +, CD45 -, CD20 -. What is most likely diagnosis?


A. Diffuse large B-cell lymphoma.

B. Follicular lymphoma.

C. Hodgkin lymphoma.

D. Mantle cell Lymphoma.

E. Precursor B-cell acute lymphoblastic leukemia / lymphoma.

F. Precursor T-cell acute lymphoblastic leukemia / lymphoma.


Edited by p53 on 06/02/05 - 07:22 AM

___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #8

I see the reed-sternberg cells! it's C. Hodgkin lymphoma

  #9

Yes, but could you identify these 3 subtypes of Hodgkin's? You can click on the pictures to make them bigger.


___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #10

the first 2 could be mixed cellularity and lymphocyte predominant hodgkins and possibley nodular sclerosis in the last.

  #11

Yes, last picture (C) is classic nodular sclerosis. First (A) is nodular lymphocyte-predominant Hodgkin's lymphoma (this is non-classic Hodgkin's lymphoma with popcorn or 'lymphohistiocytic' cells) and second (B) - lymphocyte-rich classic Hodgkin's lymphoma (WHO classification). In older Rye classification last 2 (predominant and rich) were lumped under one name 'lymphocyte predominant Hodgkin's disease'.

___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein







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