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What Does FNAC This Report Indicate ? However No Evidence Of Koch's Seen In The Smears Studied.

Posted on Fri, 24 Feb 2023

Question: What does FNAC this report indicate ?
Site of FNAC-Cervical Lyphnode
Gross-Lymphnode, firm to soft in consistency, XXXXXXX
Aspiration was done from 10 ml syringe with 22G needle & two slides were made.
Nature of aspiration-Greyish-white
Microscopy shows polymorphous population of lymphoid cells in varying stages of maturation, consisting of centrocytes, centroblasts, immunoblasts & tangible body histiocytes in haemorrhagic background.
However no evidence of Koch's seen in the smears studied.

Impression-Cytological features suggestive with infective etiology.

Answered by Dr. Dr. Nagamani N.G (2 hours later)

Brief Answer:
What are the clinical symptoms

Detailed Answer:
Hi,
Are you having any fever or persistent cough or only the lymph node swelling is present?KOCH's evidence not seen not present suggests no Tuberculosis infection But infective etiology suggests of some present infection. Always the Investigations needs to be clinically co ordinated Kindly let me know what symptoms are you suffering from?

Hope I have answered your query. Let me know if I can assist you further

Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Nagamani N.G (13 hours later)

yes cough and fever is there.

want to know if anything in this report is suggestive of malignancy ?

Do I need to discuss with oncospecialist ?

Answered by Dr. Dr. Nagamani N.G (12 hours later)

Brief Answer:
You need to get clinical examination

Detailed Answer:
You have to coordinate by clinical examination.

It seems to be more of infective origin than malignant according to my opinion.

But again it depends on the clinical examination and other investigations

Kindly consult your physician

Above answer was peer-reviewed by : Dr. Nagamani Ng