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Lymph node biopsy report please help me understand this?
SPECIMEN:LEFT CERVICAL LYMPHNODE
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GROSS EXAMINATION: 3 GREY WHITE SOFT TISSUE MEASURING 3.3 X 1.8 X 1.2CM, 1.2 X 1.0 X 0.6CM & 1 X 0.9 X 0.3CM
SECTIONS:
LARGEST LYMPHNODE - 001-001, 001-002, 001-003
SMALLER LYMPHNODE - 001-004, 001-005.
SMALLEST LYMPHNODE - 001-006
MICROSCOPIC EXAMINATION: SECTIONS EXAMINED SHOW MULTIPLE LYMPH NODES WITH PREDOMINANTELY MAINTAINED
FOLLICULAR ARCHITECTURE AND VARYING SIZED LYMPHOID FOLLICLES SHOWING POLARIZATION.
ON IHC, CD20 IS EXPRESSED IN FOLLICLE CENTRES AND SCATTERED INERFOLLICULAR CELLS. THE INTERFOLLICULAR
AREA IS HIGHLIGHTED BY BCL2, CD3 & CD5. CD30 IS EXPRESSED IN SCATTERED ACTIVATED IMMUNOBLASTS .
Ki67 INDEX HIGH IN GERMINAL CENTRES.
ON FURTHER IHC, PAX5, CD79A AND BCL6 HIGHLIGHT THE FOLLICLES. THE PLASMA CELLS STAIN WITH CD138. NO
EXPRESSION OF CD15 IS SEEN.
NO RS CELLS SEEN.
NO GRANULOMAS SEEN.
----------------------------------------------------------------------
GROSS EXAMINATION: 3 GREY WHITE SOFT TISSUE MEASURING 3.3 X 1.8 X 1.2CM, 1.2 X 1.0 X 0.6CM & 1 X 0.9 X 0.3CM
SECTIONS:
LARGEST LYMPHNODE - 001-001, 001-002, 001-003
SMALLER LYMPHNODE - 001-004, 001-005.
SMALLEST LYMPHNODE - 001-006
MICROSCOPIC EXAMINATION: SECTIONS EXAMINED SHOW MULTIPLE LYMPH NODES WITH PREDOMINANTELY MAINTAINED
FOLLICULAR ARCHITECTURE AND VARYING SIZED LYMPHOID FOLLICLES SHOWING POLARIZATION.
ON IHC, CD20 IS EXPRESSED IN FOLLICLE CENTRES AND SCATTERED INERFOLLICULAR CELLS. THE INTERFOLLICULAR
AREA IS HIGHLIGHTED BY BCL2, CD3 & CD5. CD30 IS EXPRESSED IN SCATTERED ACTIVATED IMMUNOBLASTS .
Ki67 INDEX HIGH IN GERMINAL CENTRES.
ON FURTHER IHC, PAX5, CD79A AND BCL6 HIGHLIGHT THE FOLLICLES. THE PLASMA CELLS STAIN WITH CD138. NO
EXPRESSION OF CD15 IS SEEN.
NO RS CELLS SEEN.
NO GRANULOMAS SEEN.
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