system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 58-year-old man presents with a lump on his neck. He says the mass gradually onset 2 months ago and has been progressively enlarging. He denies any pain, weight loss, fevers, chills, or night sweats. Past medical history is significant for HIV, diagnosed 5 years ago, managed on a new HAART regimen he just started. The patient is afebrile and vital signs are within normal limits. Physical examination shows a 3 cm mobile firm mass on the left lateral side of the neck immediately below the level of the thyroid cartilage. A biopsy of the mass is performed and reveals atypical mononuclear cells in a background of eosinophils, plasma cells, histiocytes, atypical T-lymphocytes, and bilobed cells (shown in image). Which of the following is the most likely diagnosis in this patient?
assistant
Mixed cellularity classical Hodgkin lymphoma