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Bryan M. Davis, MD; Jeff Mueller, MD; James Netterville, MD
Vanderbilt Medical Center, Nashville, Tenn

Arch Otolaryngol Head Neck Surg. 2006;132:455.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 25-year-old Nigerian man presented with painless neck nodules that had been present for as long as he could remember, at least as far back as early childhood. He reported that the nodules had been stable in size for the past decade. He had no other significant personal or family medical history and no ear pain, weight loss, night sweats, fever, difficulty in breathing, signs of infection, or other systemic symptoms.

Physical examination revealed bilateral cervical lymphadenopathy with multiple mobile 5- to 6-cm lymph nodes (Figure 1). There were no cranial nerve deficits. Fine-needle aspiration demonstrated large histiocytes with distinct cell membranes containing an abundance of cytoplasm (Figure 2). The histiocytes also contained intact lymphocytes and plasma cells (Figure 2). Histologic examination revealed sheets of lymphocytes in the lymph nodes (Figure 3). . . . [Full Text of this Article]

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