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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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FNAC Report Of Left Supraclavicular Lymph Node Shows Granulomatous Lymphadenitis. Cancer Or TB?

Hi doctor,

My FNAC report of Left superaclavicular lymph node done, findings are

Smears are moderately cellular & show multiple well formed epithelioid cell granulomes,multinucleate giant cells & scattered histiocytes against a reactive background. No evidence of casesous necrosis seen. ZN stain for AFB is negative.
Impression: Granulomatous lymphadenitis

1.Is this a cancer or TB
2. Is this a normal diease ,can be cured with normal medicines.
3. anything to worry about.
posted on Fri, 10 May 2013
Twitter Fri, 10 May 2013 Answered on
Twitter Fri, 10 May 2013 Last reviewed on
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Oncologist, Surgical,  's  Response
Dear Sir/ Ma'am,

Sorry to hear about your problem. From your report it looks like you are suffering from tuberculosis. Sometimes caseous necrosis can be missing (characteristic of TB) and ZN staining can also be negative. You can get a PCR done for TB and this would give us more information.
The report is certainly not suggestive of cancer. It it turns out to be TB, it can be treated with medicines and would not require surgery.

Hoping for the best.
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FNAC Report Of Left Supraclavicular Lymph Node Shows Granulomatous Lymphadenitis. Cancer Or TB?

Dear Sir/ Ma am, Sorry to hear about your problem. From your report it looks like you are suffering from tuberculosis. Sometimes caseous necrosis can be missing (characteristic of TB) and ZN staining can also be negative. You can get a PCR done for TB and this would give us more information. The report is certainly not suggestive of cancer. It it turns out to be TB, it can be treated with medicines and would not require surgery. Hoping for the best.