Clinical data: a 32-year-old woman was referred for an evaluation of an enlarged cervical lymph node.

Palpation: both thyroids were very hard, not freely moveable. There were multiple, not freely moveable lymph nodes in both sides of the neck.

Functional state: euthyroidism.

Ultrasonography: besides the enlarged lymph nodes, US revealed a hypoechogenic lesion in the left lobe of the thyroid.

Cytology: the lymph node and the thyroid yielded similar report suspicion of Hodgkin's disease

Histopathology: revealed Hodgkin's disease of mixed cellular type.

Histological specimen courtesy of Dr. Zsolt Orosz, National Institute of Oncology, Budapest, Hungary.