60yrs male rt axillary lymph node 3cmsx2cms. FNAC was performed. Give ur diagnosis.

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Possibility are..1.Granuloma with pleomorphic immunoblasts or RS look alike cells or pseudoRS cells..2.lymphoma HL with granulomatous reaction. Sug.clinical correlation. Biopsy.IHC

Thanks all who have responded. Highly possible a case of Hodgkin lymphoma. As inguinal lymph node is also enlarged. But mets cannot be ruled out. So adviced biopsy and further workup.

Diff diag Lymphoma , Metastatic carcinoma Adv Biopsy work up

Epithelioid granuloma and binucleate large cells on background of lymphocytes and rbc.

Its a granulomatus lesion.

drug induced lymphadenopathy

Granulomatous lesion

Possibly granulomatous lesion

Granulomatus lesion.

Hodgkin lymphoma

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