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What Does My Histopathology Result Report Indicate?

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Posted on Thu, 4 Feb 2016
Question: I am male 43 years old. Histopathology report of axila lymph node says "features are of Necrotising Granulomatous Lymphadenitis, Possibly Tubercular"
ACE Serrum level is 102
TB feron Test Report is "Gamma Interferin Antigen Tube 1.17 , Gamma Interferon Nil Tube 0.06"
Chest Xray is clear
No weight loss, temprature etc. - no health problem
(I have lymph nodes in left axila , peri penchricatic region and meditinal region)
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
TB PCR with the facility to test MDR confirms or rules out.

Detailed Answer:
Hi.
Thanks for your query and an elucidate information.
Read and understood the confusion between sarcoidosis and tuberculosis.

This is the biggest clinical dilemma.
My thoughts:
- If you are staying in XXXXXXX tuberculosis has to be given the more weight although sarcoidosis is not very uncommon.
- TB PCR or RNA study is most confirmatory of TB and the material should be sent for this test. Left axillary lymph node can be the easiest and even FNAC sample may be sufficient and easily available. This tells whether this is TB and also tell whether this is sensitive to the routine anti-tubercular medicines or is MDR.
Go for this tests and the diagnosis will be confirmed.

I hope this answer helps you in decision making and going ahead with proper treatment and cure.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19695 Questions

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What Does My Histopathology Result Report Indicate?

Brief Answer: TB PCR with the facility to test MDR confirms or rules out. Detailed Answer: Hi. Thanks for your query and an elucidate information. Read and understood the confusion between sarcoidosis and tuberculosis. This is the biggest clinical dilemma. My thoughts: - If you are staying in XXXXXXX tuberculosis has to be given the more weight although sarcoidosis is not very uncommon. - TB PCR or RNA study is most confirmatory of TB and the material should be sent for this test. Left axillary lymph node can be the easiest and even FNAC sample may be sufficient and easily available. This tells whether this is TB and also tell whether this is sensitive to the routine anti-tubercular medicines or is MDR. Go for this tests and the diagnosis will be confirmed. I hope this answer helps you in decision making and going ahead with proper treatment and cure.