Simultaneous occurrence of XXXX and tubercular lymphadenitis in the same cervical lymph node: a rare presentation.

@entity1 @entity3329 @entity706 @entity39 @entity4 @entity843 @entity828 @entity378 @entity221 @entity978
Concomitant presentation of @entity378 ( @entity378 ) and @entity706 is a rare entity. A primary malignancy such as @entity978 ( @entity978 ) may cause suppression of the cell-mediated immunity, which predisposes to a concomitant @entity378 . We report a case of an 18-year-old @entity1 , who presented with @entity221 and was found to have pallor, generalised @entity3329 , @entity828 , @entity843 and pedal @entity4 . Ultrasound of the abdomen revealed enlarged lymph nodes in the para-aortic and peripancreatic region. On chest contrast-enhanced CT, calcified mediastinal lymph nodes were seen. A surgical biopsy of a cervical lymph node was performed, which revealed @entity39 surrounded by epithelioid cells along with diffuse nodal architectural effacement by large atypical lymphoid cells. Numerous Reed Sternberg cells were also seen. Immunohistochemistry confirmed diagnosis of @entity978 . The same lymph node came out to be positive for mycobacterium @entity378 on polymerised chain reaction. The @entity1 was given antitubercular therapy concomitantly with chemotherapy for @entity978 , and improved with treatment.
