Silent Swellings, Loud Diagnosis: Hodgkin Lymphoma Hidden in the Axillae

doi:10.5281/zenodo.16499471

International Journal of Medical and Pharmaceutical Research

2025, Volume-6, Issue-4 : 170-174 doi: 10.5281/zenodo.16499471

Case Report

Silent Swellings, Loud Diagnosis: Hodgkin Lymphoma Hidden in the Axillae

Dr. Sohail Mohammed Balbatti

Dr. Santosh Kumar Nemagouda

Dr. Moinuddin Adil M

Dr. Md Ehtesham Afzal

Dr. Afeeya Anjum Zari

DOI : 10.5281/zenodo.16499471

Published

July 27, 2025

Abstract

We report a rare case of a 28-year-old male presenting with bilateral axillary lymphadenopathy persisting for nine months, accompanied by low-grade fever and loss of appetite. Initial fine-needle aspiration cytology (FNAC) suggested granulomatous lymphadenitis. However, subsequent excisional biopsy confirmed classical Hodgkin lymphoma. Immunohistochemistry (IHC) revealed a diagnosis of nodular lymphocyte predominant Hodgkin lymphoma, type C. PET-CT showed hypermetabolic lymphadenopathy on both sides of the diaphragm.

This case underscores the importance of considering Hodgkin lymphoma in the differential diagnosis of isolated axillary lymphadenopathy and the potential for misdiagnosis when relying solely on FNAC.

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