PMC5611874_01
Ascitic fluid cytology with Diff-Quick stain demonstrating large atypical lymphocytes with round to anaplastic nuclei, dispersed chromatin, and basophilic cytoplasm (marked by the arrows). A subset of cells show plasmacytoid/plasmablastic morphology.
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fig1
Fluid cytology showed atypical pleomorphic malignant cells, a subset of which with plasmacytoid/plasmablastic morphology along with rare Hodgkin/Reed-Sternberg like morphology (Figure 1).
PET CT scan showing the absence of focal FDG uptake, in addition to stigmata of liver cirrhosis.
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fig2
Given concern for a nonhematopoietic tumor and metastatic disease, a CT abdomen-pelvis and whole-body PET CT scan were obtained and a localized malignant focal point or lymphadenopathy was excluded (Figure 2).