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Saturday, 3 June 2017

CASE 435: CERVICAL LYMPH NODES, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Female patient 23 yo detected  submandibilar nodes with history of recurrent sore throat. And some palpable  left cervical  nodes along  of SCM. No fever, nor pain.
US 1: hypoechoic, no hilus left submandibular nodes.


US 2: scanning  along  left site SCM, small hypoechoic nodes.


US 3: hypervascular  color Doppler .


US 4. high flow vascular  intranodes without defected area.


US 5: spectral Doppler  high RI and PI.


US 6: elastoscanning of  inhomogeneous nodes, central low kPa.


Biopsy of  the big submandibular node.
Blood tests=  normal WBC, CRP,  but high beta microglobuline 3200 UI, and  normal LDH, ferritine.

Microscopic report of this biopsy is tuberculosis  lymph nodes with LANGEHANS  MACROPHAGE CELLS.




SUMMARY :TUBERCULOSIS CERVICAL LYMPH NODES.

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