Q:

A lady from Asia presented with lump in her neck. FNAC has been done and revealed lesions with caseous material in the center surrounded by fibrosis. What is the most probable diagnosis?

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A lady from Asia presented with lump in her neck. FNAC has been done and revealed lesions with caseous material in the center surrounded by fibrosis. What is the most probable diagnosis?


  1. Thyroid carcinoma
  2. TB lymphadenitis
  3. Lymphoma
  4. Inf Mono
  5. Mesothelioma

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The key is B. TB lymphadenitis. [Central caseous necrosis with sourrounded fibrosis is diagnostic of

TB lymphadenitis. The most common cellular components seen are epithelioid cell clusters, lymphocytes

and langhans giant cells].

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