Code |
Diagnosis |
Comment |
Score |
anonymous |
Granulomatous inflammation (100%)
|
To perform special stains, including ZN, grocott, wade-fite, Warthin-starry stains, to look for organisms.
|
95 |
anonymous |
Granulomatous lymphadenitis with florid follicular hyperplasia, toxoplasmosis is most likely, brucellosis and mycobacterium infection must be ruled out.
|
Serologic studies, special stain and molecular genetic study if necessary.
|
90 |
anonymous |
Non-necrotizing granulomatous inflammation, to exclude infection.
|
Additional clinical history required.
Special stains for infective organisms (ZN, Grocott, WS).
|
95 |
anonymous |
Reactive change with follicular hyperplasia and granulomatous inflammation.
|
Perform special studies for organisms (ZN/ Wade-Fite for acid-fast bacilli; Grocott/ PAS-diastase for fungus, immunostaining for cat-scratch disease organism)
|
90 |
anonymous |
Granulomatous lymphadenitis. 100%
|
Special stains eg. ZN and Grocott to look for acid fast bacilli and fungi. Correlate with clinical and culture results for microorganisms. After exclusion of other causes, sarcoidosis is a possibility.
|
90 |
anonymous |
Histiocytic/dendritic cell lesion. (100%)
|
Do CD21 & CD35 to exclude follicular dendritic cell sarcoma. Do S100 protein to exclude Rosai-Dorfman disease. Do Ziehl Neelsen and Wade Fite stains to exclude mycobacterial infection. Do Grocott and PAS stains to exclude fungal infection. Do Warthin Starry stain to exclude syphilis.
|
20 |
anonymous |
Granulomatous lymphadenitis 100%
|
Sarcoidosis is considered after exclusion of mycobacterial or fungal infections.
|
90 |
anonymous |
Granulomatous lymphadenitis (100%)
|
DD'x include 1) infection, 2) other causes of granulomatous inflammation, 3)sarcoid (rare in this locality) and 4) tumours like metastatic carcinoma and Hodgkin's lymphoma (unlikely here).
1) & 2) Perform stains for micro-organisms : Ziehl Neelsen, Gram, PAS, Grocott, Warthin Starry to look for organisms.
4) Perform epithelial marker to exclude minute metastatic carcinoma, examine more blocks to look for minute foci of malignancy.
|
95 |
anonymous |
Granulomatous lymphadenopathy
|
Perform special stains to exclude infectious agents
|
90 |
anonymous |
GRANULOMATOUS INFLAMMATION (100%)
|
Toxoplasmosis needs to be excluded by serology. Ziehl-Neelsen and Grocott stains to exclude mycobacterial and fungal infections. If all negative, sarcoidosis need to be considered.
|
90 |
anonymous |
Granulomatous inflammation 100%
|
cytokeratin to exclude subtle NPC
organism stains (ZN, PAS) to exclude TB
clinical correlation to exclude sarcoidosis
|
90 |
anonymous |
Granulomatous inflammation
|
Possiblities include infection, reaction to occult tumor and reaction to foreign body. Suggest Ziehl-Neelsen, Wade-Fite and fungal stains to detect specific infectious organisms.
|
90 |
anonymous |
Granulomatous inflammation.
Do PASD and ZN stain to look for fungus and mycobacterium. Probability: 100%
|
nil
|
90 |
anonymous |
Granulomatous inflammation (100%), favour infective etiology
|
Infective cause is favoured. Perform special stains for fungus, acid fast bacilli and spirochaetes. Correlate with microbiological studies.
|
95 |
anonymous |
Granulomatous inflammation (100%)
|
Special stains including ZN and PASD for infective organisms. Sarcoidosis is a likely diagnosis if all stains are negative and clincially consistent.
|
90 |