Concluded Case

Diffuse unilateral cervical swelling 8/M

Patient 8 years Male child, presented with Diffuse right sided unilateral cervical swelling in the region of sternocleidomastoid, Tender, inflamed, very painful, local temperature raised. H/o Fever present. Short history of 15 days. Small lesion (Lymph node?) progressed to large diffuse painful swelling On CT report, possibility of Koch's disease /Lymphoma On FNA biopsy, Large Cells with appear monocytoid /Macrophage with Abundant vacuolated cytoplasm, Activated Lymphocytes, Eosinophils seen. Probable diagnosis?

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Concluded answer

Atypical nucleolated mononuclears... some binucleate.. with abundant amphophilic cytoplasm. Inflammatory background.. Dd. Infectious mononucleosis Lymhoproliferative disorder /hematolymphoid neoplasia. Sug. Clinicoimaging Cbc Monospot Special stain.. ihc... fcm Open bx... Bone marrow study ... cytogenetic study

All Answers

Atypical nucleolated mononuclears... some binucleate.. with abundant amphophilic cytoplasm. Inflammatory background.. Dd. Infectious mononucleosis Lymhoproliferative disorder /hematolymphoid neoplasia. Sug. Clinicoimaging Cbc Monospot Special stain.. ihc... fcm Open bx... Bone marrow study ... cytogenetic study

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Sir.. What was nature of fn aspirate?

Sir, I was suspecting the aspirate May be pus like as in tubercular aspirates. But it came out to be thin blood mixed fluid. Even on second pass, aspirate was same.
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lymphoproliferative disorder. Biopsy suggested

Infectious mononucleosis, Mononcytoid lymphocytes seen. Correlate with blood smear findings

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