DOI: 10.36347/sjmcr.2014.v02i04.0012

Pages: 258-260

The presence of symptoms and clinical signs of activity and extranodal determination of a lymphoma are sometimes in contrast with the result of hystopathological examination which has showed a lymphoma with low degree of malignancy. This is also the case of the patient we present. The second hystopathological examination and immunohistochemistry have determined that it was a nodular lymphocyte predominant Hodgkin's lymphoma associated with a diffuse large B cell nonHodgkin lymphoma. It is discussed the possible evolution of the first towards the aggressive lymphoma or the fact that both hystopathological aspects may represent a spectrum of the same disease.