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Supraclavicular lymph nodes
My mother is suffering frm lymph nodes since two years. Nodes are small in size and only 1 node appears vry small In size frm outside not seen clearly till you touch it. No symptoms of tb like fever fatigue sweat weakness. She is diabetic since two and half years and nodes from 2 years. USG reports:Enlarged hypoechoic left supraclavicular lymph nodes 10×7mm and 17×6 mm noted. BIOPSY : SPECIMEN: multiple core biopsy from supraclavicular lymph nodes for HPE. IMPRESIONS:1)Granulomatous lymphadenitis. 2)Tuberculosis needs to be excluded. 3)AFB stain is negative. 4)Consider ancillary testing with TB-PCR to exclude TB. MACROSCOPIC DESCRIPTIONS: Recieved multiple grey white to gray brown linear core bits ranging in size from 0.3 cm to 1 cm in length all embedded. MICROSCOPIC FINDINGS: Sections shows of linear cores of lymphoid tissue showing several discrete as well as coalescent epitheoid granuloma. Caseous necrosis is not seen.occasional granuloma shows dystropic calcification.what is this
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Hi Do CBNAAT testing
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You can send node for excision biopsy for culture and sensitivity and also for cytology to rule out any cancer
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Consult a pulmonologist for the same
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The biopsy is not 100% conclusive with TB. There are two options either go for excisional biopsy and get it examined plus culture sensitivity testing. Other option is you can wait and watch it. Since the nodes are there for 2 years, we should not worry too much. Please have a detailed discussion with your doctor.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.