Fnac of the right upper face swelling
60_65 y female c/o swelling on right upper face since 8_10 days.FNAC was advised. O/E swelling was 3.7×3.6 cm ,firm in consistency. Blood mixed purulent material was aspirated..and the patient was prescribed a course of antibiotics. The H&E stained smears show acute and chronic inflammatory cells with some granulomas.
Pyogranuloma. Sug. Aspirate for cbnaat and bacterial culture.
Abscess
suppurative lesion
Suppurative Lesion
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18 yr old ,girl,college student,from neighbouring state,presented with painless swelling rt side of neck since 2 yrs *Chief Complaints* She developed neck swelling rt side 2 yrs ago Initially only single nodule ,slowly, the number of nodules increased.Denied having pain ,loss of weight or appetite / fever.The swelling is remaining static for the last 1 yr. Evaluated at her home town in different hospitals,biopsy done twice. After the biopsy she was informed that there is no further treatment available .She has no primary neurological problem.The reason to visit in the OPD is asking for a help to ref her to a proper doctor for further possible management at least for cosmetic reason. *History* No significant medical illness in the past.No family history of any type of malignancy .No history of TB in the family. *Vitals* Afebrile. BP110/ 60 mmhg.HR76/ mt. *Physical Examination* The only abnormality in physical exam is multiple mobile lymph nodes,varying in size,2 to 4 cm in the rt side of neck including submandibular lymph node ,some of them are matted together.No tenderness noted. No other lymphnode noted. No hepato-spleenomegaly noted. *Investigations* All blood work up including peripheral smear ,bone marrow,blood biochemistry,immunoelectrophoresis were normal.Ct chest and abdomen were normal. Cervical lymphnode biopsy done ,this is the3rd biopsy. *Diagnosis* 1st two biopsy report: Rosai Dorfman disease. *Management* Management waiting for the biopsy report. Question : What is the possible diagnosis ?
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