A previously healthy 62-year-old man presented with massive splenomegaly. Grossly, the spleen was 2,640 g and 27.0 x 19.0 x 7.0 cm and was received with multiple detached lymph nodes and a 1.0 cm in greatest dimension accessory spleen. The cut surface revealed multiple beefy, tan/red, nodules, ranging from 0.1 to 0.3 cm in greatest dimension.
The master list with the correct answer
• Chronic lymphocytic leukemia/small lymphocytic lymphoma
• Diffuse large B cell lymphoma
• Hairy cell leukemia
• Mantle cell lymphoma
• Reactive follicular hyperplasia
• Splenic marginal zone lymphoma
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• Appropriate diagnosis
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