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Primary effusion lymphoma (PEL) is a very rare type of lymphoma that is usually confined to the body cavities such as the pleural space, pericardium and peritoneum. PEL is associated with human herpes virus-8 (HHV-8) infection and commonly observed in HIV-infected patients.
We present a case of PEL confirmed by pathology without effusion in a 38-year-old man at initial HIV diagnosis.
A 38-year-old man presented with a right axillary swelling, restricted arm movement and chest pain for 3 weeks. He reported weight loss of 4 kg and night sweat without fever and/or chills. On physical examination, we found enlarged neck and axillary lymph nodes with a diameter of 3 cm, movable and hard presentation without tenderness. Elevation of the right shoulder was restricted to 20° with intact circulation and sensitivity.
Lab reports showed …