Case 37091

Presentation of Case First admission. A thirty-seven-year-old man entered the hospital complaining of swelling of the left side of the neck.The patient had been in excellent health until seven months prior to admission, when he first noted painless swelling of the left side of the neck and discrete lumps under the skin near the clavicle. Two months before admission dilated veins appeared over both sides of the chest, extending down as far as the sternum; moderate edema of the face was noted. A biopsy was performed on a supraclavicular lymph node at another hospital and reported as "hyperplasia." Following . . .