ANSWER TO KCIAPM CYTOLOGY SLIDE SEMINAR JULY 2014

1. Case 6

2. • 28yrs/F, c/o abdominal pain on and off.
• USG abdomen : multiple abdominal lymph-
nodes, largest measuring 2x2cm.
• USG FNA of para-aortic lymph-node done.

6. Is it a granuloma??

9. List of differentials
• Necrotising lymphadenitis
• Necrotising granulomatous lymphadenitis
• Histiocytic sarcoma
• Metastatic adenocarcinoma with ?cystic
degeneration.
• Metastatic melanoma

15. • Cell block : AFB ++
• Smears : destain & restain for AFB

17. No hepatosplenomegaly
CBC : normal
CXR
USG : Enlarged LNs
HIV : ?
HIV : positive

19. • Necrotising Granulomatous Lymphadenitis
Tuberculous Etiology

20. Believe what you see……