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Swelling near left shoulder. FNA test done. What does report suggest?

I had the swellings near left shoulder . I did FNA test, Microscopic examination results says Smears studies are haemorrhagic, showing scattered lymphotcyte and few plasma cells. Occasional small aggregates of cells with elongated nucleas resembling epitheliod cells are seen. No necrosis identified. No atypical cells seen . Impression: Features are suggestive of granulomatous lymphadenitis, right supraclavicular node. Kindly advise.
Asked On : Mon, 11 Mar 2013
Answers:  2 Views:  50
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Internal Medicine Specialist 's  Response
Dear friend, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- and am glad to address to your query here.

The microscopy of the supraclavicular lymph node shows a granulomatous inflammation with no necrosis or cancer cells.
It means aggregation of inflammatory reactive cells (epitheloid and lymphocytes) which are usually

indicative of chronic infection. Cause will depend on your symptoms.
It does not show cancer or central decay (like in TB).

Please seek treating doctor’s advice to determine significance of these findings.
It is not serious.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer.
Take care and please keep me informed of your progress at
Good Luck! Thank you!!
Answered: Mon, 11 Mar 2013
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Critical Care Specialist Dr. Sadiq Mughal's  Response
Hi thanks for your question.
The FNAC report indicate that this swelling is enlrged right supraclavicular lymph node.Lymh node are normally present at this site and one lymph nodes has got enlarged due to infection .Type of infection which has increased is of granulomatous type which means chronic type.Most common chronic infection which give rise to supra clavicular lympadenopathy is tuberculosis.Consult your treating physiciam who may be able to manage this swelling.
Hope this answwrs your question
Answered: Mon, 11 Mar 2013
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