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British Association for Cytopathology February 2024 Case Study

A potential pitfall in low-grade lymphoma

Dr Mouna Abdelwahab Histopathology Registrar Royal Cornwall Hospital NHS Trust

Clinical information
  • 46-year-old female 
  • 8-week history of non-fluctuating left mandibular triangle swelling 
  • No other symptoms 
  • Neck US showed 3 abnormal left level 1B lymph nodes, largest 2.1x1.5 cm and another abnormal node within the left submandibular gland – Regarded as “slightly atypical nodes” 
  • FNA (with ROSE) was taken from the largest node