A 2-year-old boy presented with complaints of bilateral multiple neck swellings for 1 year which was insidious in onset, painless and progressively increasing in size. There was no history of fever, weight loss, night sweats, cough or abdominal pain. No history of contact with tuberculosis was noted. Frontal radiograph of chest and H&E stain image are attached. Plz, suggest the line of treatment.

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the histological picture is that of Rosai-Dorfman disease.it can remit spontaneously.in extensive disease,radio/chemotherapy is used.

*PTB ** Malignancy Needs further investigations and evaluation to conclude diagnosis and line of treatment.

Thanks Dr Pushkar Bhomia
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Seems to be Melignency..pl confirm with HP invest.. Healed Koch's lession.

TB lymphadenitis Biopsy for confirmation , CBNAAT Treatement : AKT

Pulminary TB / Hodgkins Lympoma Do a CBNAAT and FNAC lymphnode

thymoma mediastinal tumors leukaemia infiltrationto be ruled out

D/D tuberculosis Hodgkins lymphoma Biopsy of lymphnode CBNAAT

Granulomatous lesion - CBNAAT and Biopsy for needful.

DD/ Hodgkins lymphoma, PTB ad. Lymphnode biopsy

DD Primary complex Hodgkins lymphoma

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