Concluded Case

testicular germ cell tumor with nodal involvement

30 yr old male inguinal swelling since 3 months and testicular swelling since 3 years due to injury from cycling. Patient was on homeopathic medicine. History of khaini chewing since 8 years. Fnac from inguinal swelling....

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Concluded answer

testicular germ cell tumor with nodal involvement.

All Answers

Atypical pleomorphic cells with nucleomegaly.. anisokaryosis..occ binuclear cells Foamy macrophages Many lymphocytes in background Epitheliod granuloma. Likely.. Testicular germ cell tumour..with nodal involvement. Sug Bx.ihc

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Granulomatous Lymphadenitis without caseation necrosis Binucleate cells and foamy cells also seen Should go for ANA, CBNAAT, AFB and IHC to rule out TB/Sarcoidosis/HD

granulomatous lymphadenitis

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Granulomatous lymphadenitis

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testicular germ cell tumor with nodal involvement.

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