From the archives of MD Anderson Cancer Center: Crystal-storing histiocytosis associated with B-cell lymphoma.
Omar Al-Rusan, Qi Shen, L Jeffrey Medeiros
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Case in brief
A 61-year-old man with a history of resected colon adenocarcinoma presented with a 5.5 cm right ureteral mass, hydronephrosis, lymphadenopathy, and splenomegaly. Biopsy revealed sheets of histiocytes filled with eosinophilic crystals, alongside small lymphocytes and plasma cells. Immunohistochemical analysis confirmed the presence of B-cell lymphoma associated with crystal-storing histiocytosis. The case was managed with further evaluation and diagnosis.
Diagnostic / clinical pearl
Clinicians should consider crystal-storing histiocytosis in patients with B-cell lymphoma presenting with unusual histological findings, particularly eosinophilic crystals within histiocytes.