A 61 year old male presented with a 3 month history of abdominal pain
, fever, gastrointestinal tract bleeding and weight loss.
There is splenomegaly and lymphadenopathy.
Lymphnodes are palpable in the cervical, axillary and inguinal region.
CT scan: Enlarged lymphnodes in the cervical, inguinal, retroperitoneal region, around aorta and in the mediastinum. There is thickening of the caecum and right side of the colon.
Colonoscopy: Revealed multiple grayish-white polypoid lesions 1.5 to 2.0 cm in diameter.
These are endoscopic biopsy specimens from the lesions in the colon.
CyclinD1: shows strong nuclear positivity
CD20 and CD19: Positive
CD10 and CD23: Negative
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