MEETING No. 35 OCTOBER 10th, 2001, GALLARATE HOSPITAL

Case 1
Case 2
Case 3
Case 4
Case 5
Case 6

Case 1

"FNA OF SUB-MANDIBULAR NODULE "
M. SPINELLI - Garbagnate Hospital
(Pictures by Dr. Spinelli) Clinical history: A 36y.o. woman presents to our FNA clinic with a left sub-mandibular nodule; the patient refers diffuse face and body hitching and slight weight loss since three months.
Lab investigations are in the normal range with the exception of the ESR; the ultrasound shows a 2.3 cm nodule. A FNA is performed.
Cytological description: the smears are very cellular and consists mainly of lymphoid cells admixed to eosinophils (better seen with MGG stain) and rare plasma cells; there are numerous large cells, mainly isolated, occasionally multinucleated or with multi-lobulated nuclei, often with prominent nucleoli (pict. 1 - pict. 2 - pict. 3 - pict. 4 - pict. 5 - pict. 7 - pict. 8).
Mitoses are observed (pict. 6).

Diagnosis

pict. 1	pict. 2
pict. 3	pict. 4
pict. 5	pict. 6
pict. 7	pict. 8

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