Figures 4-6 do not show any reactive lymphoid follicles, raising the suspicion for lymphoma. However, the other higher power figures show mainly small lymphocytes admixed with scattered larger cell. These certainly do not support high grade diffuse large B cell lymphoma or Hodgkin disease. As to what it is exactly, that is much harder to answer. You will need immunohistochemical stains to further study this case. If you happen to save some fresh tissue for flow cytometry, that's also of great value in cases like this.

 同意mjma的看法。

是淋巴瘤。

 淋巴瘤

建议抗炎对症治疗二周后复查，形态学不能除外病毒性感染引起的淋巴组织增生。

 To me, the morphological features raise the possibility of EBV related  extranodal NK/T cell lymphoma, nasal type if there is vascular damage and destruction. Nee to perform IPX. It is immpossible to diagnosis a lymphoid proliferation disease without IP and flow. Cytogenetic or molecular study (Ig H or TCR rearragment ) can be very useful in diffficult cases. 

 有结果了吗？免疫组化怎么样？

 倾向淋巴瘤

以下是引用xljin8在2010-2-4 3:54:00的发言： 建议抗炎对症治疗二周后复查，形态学不能除外病毒性感染引起的淋巴组织增生。

我同意金老师意见，同时建议做免疫组化明确增生细胞性质。

 建议做免疫组化明确性质。

 倾向淋巴瘤，NK/T首先考虑，免疫鉴别和证实。

 考虑淋巴瘤，建议免疫组化明确！

 建议免疫组化

做了免疫组化没有?

是不是NK/T?

 瘤细胞核浅染，染色质细腻，让人联想到淋巴母细胞淋巴瘤或髓系肉瘤。建议免疫组化明确诊断。

不知患者目前如何，楼主能否告知随访情况？谢谢！

 做免疫组织化学标记应该就能明确性质，愿盖患早日得到有效的治疗，早日康复！