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Diagnosis:

A CT-guided percutaneous biopsy: DLBCL.

sheets of malignant large lymphocytes which were CD79a+, CD20+ confirming B-cell

origin.

Further immunohistochemistry confirmed activated B-cell subtype of DLBCL, which is

MUM1+, BCL2+, BCL6+, p53+, CD30+/-, CD10+/-

proliferation fraction (Ki67) > 90%.

In situ hybridization showed no MYC, IgH, BCL2, or BCL6 rearrangements.