Kini, UshaAlexander, BettyCorrea, Marjorie2008-05-152009-05-312008-05-152009-05-312008-05-15Kini U, Alexander B, Correa M. Malignant lymphoma without lymphadenopathy. Journal of the Association of Physicians of India. 2008 May; 56(): 383-5http://imsear.searo.who.int/handle/123456789/93739Hepatosplenic T-Cell lymphoma (HSTCL) is a rare form of extra-nodal post-thymic T-cell non-Hodgkin's lymphoma that primarily involves liver and spleen with B symptoms, with a characteristic absence of lymphadenopathy. We report such an entity in a 65-year-old man who was diagnosed to have multiple myeloma and treated for the same for two years. A clinical diagnosis of secondary myelofibrosis was suspected and was investigated, when he developed pancytopenia and massive hepatosplenomegaly at one of his follow-up visits. The patient underwent therapeutic splenectomy with a simultaneous wedge biopsy of the liver and with their corresponding histopathological and immunohistochemical features, the diagnosis of HSTCL was clinched.engAgedHepatectomyHumansLiver --pathologyLiver Neoplasms --diagnosisLymphoma, T-Cell --diagnosisMaleMultiple Myeloma --diagnosisNeoplasms, Multiple Primary --diagnosisSpleen --pathologySplenectomySplenic Neoplasms --diagnosisCase Reports