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Advice : A clinico - radiological correl
FNAC from right cervical swelling yielded highly cellular smears composed of a polymorphous population of large
lymphoid cells having round to irregular and lobate nucleus and scanty finely vacuolated cytoplasm. There are
accompanied by small lymphocytes scattered tingiblr body macrophages, few neutrophils and occasional eosinophils.
The background is dirty, shows abundant lymphoglandular bodies and RBCs. Granulomas or metastatic cells are not
identified.
Advice : A clinico - radiological correlation with excision followed by HPE with IHC for exact characterization.
Before my opinion, I want to know something more.
First how many clinical palpable lymph node in these paitent.
Second is paitent having complain of fever, night sweat and wait loss??
Excision biopsy from most clinical palpable lymph nodes and send for IHC
Next Steps
whole body PET SCAN is also advise
Answered
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