Fine Needle aspiration cytology

40 y female bilateral cervical swellings

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Rt.. Granulomatous lymphadenitis Lt.. Squamous cells.. intact and degenerate.. few inflammatory cells.. and amorphous debris. Dd.Branchial cyst Epidermal cyst. Sug.bx

Thank you doctor
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both are keratinous cyst epidermal type with giant cell reaction

Reactive lymphadenitis

Such beautiful multinucleated giant cells are seen..its granulomatous lymphadenitis on right side
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