• Scot Med J · Feb 2021

    Case Reports

    Diagnostic challenge of soft tissue extranodal Hodgkin lymphoma in core-needle biopsy: case report.

    • Nives Jonjić, Toni Valković, Danijela Veljković Vujaklija, and Koviljka Matušan Ilijaš.
    • Pathologist, 112565Clinical Hospital Center Rijeka, Croatia.
    • Scot Med J. 2021 Feb 1; 66 (1): 40-45.

    AbstractHodgkin lymphoma (HL) is an uncommon malignancy usually limited to the lymph nodes and lymphatic system while extranodal involvement is much less common than in non-Hodgkin lymphoma. The current report presents an unusual case of primary classical HL (cHL), nodular sclerosis type with mixed cellularity in buttock soft tissue of 78-year old man. Primary lymphoma of the gluteal muscle is a rare disease and primary cHL is even rarer. In addition, to this unusual extranodal presentation, the present case highlight a diagnostic challenge in fine-needle biopsy masquerading a low grade sarcoma, primarily myxoinflammatory fibrosarcoma or an inflammatory lesion. However, surgical biopsy and immunohistochemistry guided correct diagnosis that was of major interest for further successful treatment.

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