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Done With FNAC Test. What Does My Report Says?

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Posted on Mon, 4 Nov 2013
Question: microscopic examination:
hemorrhagic and sparsely cellular aspirate- smears shows mature and reactive lymphocytes and hisiocytes. background shows RBC's
impression:
* reactive lymphadenitis
CYTOLOGY REPORT
HPE NO.: 4141/ 13
SPECIMEN:USG Guided FNAC-Cervical Node
MICROSCOPIC EXAMINATION:
hemorrhagic and sparsely cellular aspirate- smears shows mature and reactive lymphocytes and histiocytes. background shows RBC's.
IMPRESSION:
*reactive lymphadenitis
doctor now i cant do it please....
doctor
Answered by Dr. Srikanth Reddy (1 hour later)
Brief Answer:
Its a FNAC report

Detailed Answer:
Hello,

Thanks for choosing health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

The report that you have stated is an FNAC report. A needle was inserted and an aspirate was removed from a lymphnode swelling.
The report states that the sample was hemorhagic as it has some blood. But thats fine as many samples have blood smear. Regarding the cellularity there are plenty of mature lymphocytes and histiocytes suggesting that it is a reactive lymphadenitis. This means that in response to some infection the lymphnode examined has become inflamed and swollen and probably tender.

There is nothing much to worry about.
Primary infection needs to be taken care of. You will need a course of antibiotic such as cefexime and paracetamol for pain. It will mostly resolve in a week.

Hope I am able to answer your concerns.

If you have any further query, I would be glad to help you.

If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:

bit.ly/dr-srikanth-reddy



Wish you good health,

Kind regards

Dr. Srikanth Reddy M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Srikanth Reddy (8 minutes later)
when will i get the answer?
doctor
Answered by Dr. Srikanth Reddy (9 minutes later)
Brief Answer:
Its an FNAC report

Detailed Answer:
Hello,

Thanks for choosing health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

The report that you have stated is an FNAC report. A needle was inserted and an aspirate was removed from a lymphnode swelling.
The report states that the sample was hemorhagic as it has some blood. But thats fine as many samples have blood smear. Regarding the cellularity there are plenty of mature lymphocytes and histiocytes suggesting that it is a reactive lymphadenitis. This means that in response to some infection the lymphnode examined has become inflamed and swollen and probably tender.

There is nothing much to worry about.
Primary infection needs to be taken care of. You will need a course of antibiotic such as cefexime and paracetamol for pain. It will mostly resolve in a week.

Hope I am able to answer your concerns.

If you have any further query, I would be glad to help you.

If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:

bit.ly/dr-srikanth-reddy



Wish you good health,

Kind regards

Dr. Srikanth Reddy M.D.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Srikanth Reddy (3 minutes later)
but no pain in that nodes........
doctor
Answered by Dr. Srikanth Reddy (1 minute later)
Brief Answer:
Its not necessary

Detailed Answer:

Hello
If you again look at my statement.
"This means that in response to some infection the lymphnode examined has become inflamed and swollen and probably tender."
I mentioned probably, as the tenderness or the pain is not a certainty although it is commonly present.
Lymphadenitis can occur without pain as well. As you FNAC has not cought any thing else serious like malignancy or granulomas, so there is nothing to worry at this stage.
Regards
Dr. Srikanth Reddy MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Srikanth Reddy (4 minutes later)
thank u doctor.... but in my nodes there is no pain..... and i will use that antibiotic....
doctor
Answered by Dr. Srikanth Reddy (49 minutes later)
Brief Answer:
you need to use antibiotic

Detailed Answer:
Hello
Its not necessary for the pain to be there.
Do discuss these issues with your treating docotor and start ona good antibiotic.
Regards
Dr. Srikanth Reddy
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

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Done With FNAC Test. What Does My Report Says?

Brief Answer:
Its a FNAC report

Detailed Answer:
Hello,

Thanks for choosing health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

The report that you have stated is an FNAC report. A needle was inserted and an aspirate was removed from a lymphnode swelling.
The report states that the sample was hemorhagic as it has some blood. But thats fine as many samples have blood smear. Regarding the cellularity there are plenty of mature lymphocytes and histiocytes suggesting that it is a reactive lymphadenitis. This means that in response to some infection the lymphnode examined has become inflamed and swollen and probably tender.

There is nothing much to worry about.
Primary infection needs to be taken care of. You will need a course of antibiotic such as cefexime and paracetamol for pain. It will mostly resolve in a week.

Hope I am able to answer your concerns.

If you have any further query, I would be glad to help you.

If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:

bit.ly/dr-srikanth-reddy



Wish you good health,

Kind regards

Dr. Srikanth Reddy M.D.