Cutaneous Involvement by Blastoid Mantle Cell Lymphoma Presenting as Cervical Abscess: A Rare Extranodal Diagnostic Challenge.
Shreya Sharma, Ankita Soni, Manjit Kaur Rana et al.
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Case in brief
A 73-year-old male presented with a solitary fluctuant swelling in the left cervical region, initially suspected to be an abscess. Imaging showed a localized lesion without lymphadenopathy. Histopathological analysis revealed medium to large atypical lymphoid cells, confirming a diagnosis of blastoid mantle cell lymphoma. The patient’s condition emphasizes the need for accurate histopathologic evaluation in atypical presentations.
What made this case unusual
The case illustrates an atypical presentation of blastoid mantle cell lymphoma as a cervical abscess-like lesion, which can lead to diagnostic challenges.
Diagnostic / clinical pearl
Clinicians should consider blastoid mantle cell lymphoma in the differential diagnosis of atypical cutaneous swellings, especially when standard presentations are absent.
Why it matters
This case underscores the importance of histopathological and immunophenotypic evaluation in diagnosing aggressive lymphomas that may present with unusual clinical features.