PMC3932818_01
CT scan showing anterior and posterior cervical lymphadenopathy.
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fig1
It revealed asymmetric lymphadenopathy in the neck involving lymph nodes within the right posterior triangle (size of 2.8 cm), right internal jugular chain (size of 1.5 cm), bilateral submental lymph nodes (size of 1.2 cm), and right supraclavicular chain (size of 2 cm) (Figure 1).
Lymph node showing reactive germinal centers and expanded paracortical areas suggestive of Kikuchi Fujimoto disease.
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fig2
An excisional biopsy of lymph node showed reactive follicles, an expanded parafollicular area (Figure 2) with clusters of large immunoblast-like cells, and histiocytes.
Multiple areas showing necrotic foci with apoptotic debris.
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fig3
Multiple areas showed necrotic foci with apoptotic debris (Figure 3).