Extranodal NK/T-Cell Lymphoma Revealed by Hemophagocytic Lymphohistiocytosis: A Case Report.
Clara Assadi-Gazvini, Chloé Li, Pierre Arnautou et al.
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Case in brief
A 67-year-old man presented with compressive aerodigestive symptoms and cytopenias. Evaluation identified hemophagocytic lymphohistiocytosis (HLH), which led to recognition of extranodal NK/T-cell lymphoma, nasal type. Bone marrow and lymph node biopsies confirmed the lymphoma. He was treated with immunochemotherapy combining etoposide and pembrolizumab.
What made this case unusual
HLH revealed the lymphoma, presenting alongside compressive aerodigestive symptoms and cytopenias.
Diagnostic / clinical pearl
In a patient with HLH, cytopenias and compressive aerodigestive symptoms, consider an underlying lymphoma; tissue diagnosis may require bone marrow and lymph node biopsy.