A 28-Year-Old Previously Healthy Man Comes to the Office Due

A 28-year-old previously healthy man comes to the office due to episodic fevers, night sweats, and weight loss for several months.  He emigrated from Kenya with his family at age 14.  He does not use tobacco, alcohol, or illicit drugs.  The patient works as a driving instructor and volunteers at a homeless shelter.  His temperature is 37.2 C (99 F) .  Physical examination is normal with the exception of cervical lymphadenopathy.  A lymph node biopsy is performed, and histopathologic findings are shown in the image below. Which of the following is the most likely diagnosis?

A) Burkitt lymphoma
B) Follicular lymphoma
C) Hodgkin lymphoma
D) Large B-cell lymphoma
E) Multiple myeloma
F) Tuberculosis

Correct Answer:

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