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Case

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

 

 

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