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 LANGHANS MACROPHAGE CELLS.
SUMMARY :TUBERCULOSIS CERVICAL LYMPH NODES.
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