Case
- Sara Jiang, MD
- 5 hours ago
- 1 min read
History: This image is from a fine needle aspiration biopsy of a lymph node in a patient with lymphadenopathy, joint symptoms, and elevated ACE.
What is your diagnosis?

Answer: Well-formed granuloma characteristic of sarcoidosis.
Comment: This air-dried smear demonstrates well-formed granulomata. The histiocyte nuclei are elongated with a shape reminiscent of a footprint. Their arrangement in granulomata have been described as being like a “dance step diagram”.
Case provided by Dr. Sara Jiang, Professor of Pathology at the University of South Florida, Senior Pathologist at Ruffalo, Hooper & Associates, Tampa, and author of the Survival Guide to Cytopathology, published by Innovative Science Press. You can order it at: https://www.innovativesciencepress.com/product-page/survival-guide-to-cytopathology
You can check out our other titles at:
1-703-350-4308/703-340-3198

