PMC3919864_01
Contrast-enhanced image shows multiple enlarged lymph nodes in the bilateral supraclavicular fossa, mediastinum and left hilus.
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Computed tomography (CT) of the brain, abdomen and pelvis showed splenomegaly; chest CT identified multiple enlarged lymph nodes in the bilateral supraclavicular fossa, mediastinum and left hilus and a number of lymph nodes that had become confluent masses, with a maximum size of 3x4 cm (Fig. 1).
Histological view of biopsy specimens obtained from (A) surgical excision of the supraclavicular fossa lymph node and (B) fiberoptic bronchoscopy. The two images show caseous necrosis, epithelioid cell nodules and Langhans giant cell. Magnification, x100.
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The histology of the specimen showed caseous necrosis, epithelioid cell nodules and multinuclear giant cells (Fig. 2A). The pathology of the specimen showed abundant coagulative necrosis, epithelioid nodules and a few Langhans giant cells (Fig. 2B).