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An otherwise healthy 21-year-old man presented with a distended
abdomen. He had an enlarged spleen with focal hypoechogenic
lesions revealed by ultrasonography. Splenectomy was performed.
A 28.0 x 15.0 x 4.5 cm, 2100.0 gram spleen contained numerous
circumscribed nodules measuring from 0.4 to 4.3 cm in diameter.
The master list with the correct answer
•
Gaucher disease
• Histiocytic sarcoma
• Hodgkin lymphoma
• Interdigitating dendritic cell sarcoma
• Langerhans cell histiocytosis
• Sinus histiocytosis with massive lymphadenopathy
(Rosai-Dorfman disease)
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• Critique
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