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Granulomas detected in lungs. Endoscopy report showing multiple lymph nodes in mediastinum. Langhann's cells present. On medication for tuberculosis

Dear Sir, My problem started with dry cough which stayed for 2 months and then with CT scan I was diagnosed with granulomas in my lung . I have been gone through endoscopy whose report says.. Multiple lymph nodes of varying size in Mediastinum . Pathological report from the samples taken from this lymph node says.. Necrotizing Granulomatous inflammation consistent with Koch s .few Langhann s cells were also seen but stain for AFB is negative....Based on this I am on 6 month of medication for Tuberculosis (PPD tests for tuberculosis was Negative even I have vaccinated for BCG) out of which I have just completed 1 month. Now I am having a lump on the base of neck and collar bone on right side....Figure from endoscopy does show enlarged lymp node on both side of the neck at somehow exact place but I am not very sure..Could you advise me something?????????????????
Asked On : Sun, 19 Aug 2012
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Pulmonologist 's  Response
Necrotizing granulomas and langhan`s giant cells are typical of tb infection and you have been already been diagnosed with tb infection. The lymph node at the base of your neck is also part of the same disease. You have already been started on treatment and you should continue it without any lapse for 6 months or even 9 months under supervision of your treating physician.
Answered: Sun, 19 Aug 2012
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