Acknowledgments
The authors acknowledge the contribution of Dr Dominic Spagnolo and Dr Benhur Amanuel who assessed and reported the lymph node histopathology samples at diagnosis and at the second presentation.
Consent
Informed consent was obtained from the patient to publish information and images found in this letter to the editor.
Disclosure statement
No potential conflict of interest was reported by the author(s). Dr Ross T. Salvaris: Honoraria: AbbVie, Roche, AstraZeneca; Dr Benjamin M Allanson: None; Professor Chan Y. Cheah: Honoraria: Roche/Genentech, Janssen-Cilag, TG Therapeutics, Loxo/Lilly, AstraZeneca, Bristol-Myers Squibb, Gilead Sciences, Menarini, Dizai Pharmaceuticals, Consulting or Advisory Role: Janssen-Cilag, Roche/Genentech, TG Therapeutics, Loxo/Lilly, Gilead Sciences, AstraZeneca, Bristol-Myers Squibb, Ascentage Pharma, Merck, Menarini, Dizai Pharmaceuticals, Research Funding: Roche/Genentech, Bristol-Myers Squibb, Abbvie, Merck, Lilly.