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Dutch HL case

Physical examination:

WHO PS 0. Pathological lymph nodes right supraclavicular fossa.

Largest node 2-3 cm. Presternal swelling (atheroma)

No other abnormalities on physical examination.

Lab:

ESR 11 mm/hour, Hb 8.9 mmol/l, leuco 5.6x10

9

/l, lymfo 1.2 x10

9

/l,

LDH 158 U/l, albumin 48 g/l