ABDOMINAL
GENERALISED LYMPHADENOPATHY
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Question
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A histological investigation of the enlarged cervical lymph nodes revealed the nodules consisted mainly of flat, slightly extended cells with pale nucleus. There were also giant cells with spherical-oval form, light pink cytoplasm and with nuclei located on a cell periphery. The centre of some nodules was presented with the unstructured, light pink colored masses. The described changes are characteristic For:
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Tuberculosis
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Lymphogranulomatosis (Hodgkin’s disease)
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Sarcoidosis (Boeck’s disease)
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Brucellosis
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Explanation:
Detailed explanation-1: -Cervical tuberculosis is usually a result of an infection in the lymph nodes, known as lymphadenitis. Extrapulmonary tuberculosis, such as scrofula, is observed most often in individuals who are immunocompromised.
Detailed explanation-2: -Cervical lymph nodes (92%) were the most common region affected by TB. This was in concordance with the other studies. In the cervical region, supraclavicular group (29.4%) was the most common group enlarged due to TB. In the literature involvement of suprascapular group has been reported between 12% and 26% due to TB.
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