title: FNAC in a case of NHL presenting initially as nodal infarction.
abstract: Lymph node infarction is rare and can occur in either nonneoplastic or neoplastic conditions. Fine needle aspiration cytology (FNAC) of infarction preceding lymphoma has not been described earlier. A 26-year-old male, was referred to the cytology laboratory for FNAC of bilateral axillary lymph nodes. FNA smears showed uniform looking ghost cells. There were no viable cells. A biopsy was advised which also showed extensive coagulative necrosis. Five weeks later, right cervical lymph nodes also appeared and FNA smears showed discrete monomorphic population of immature lymphoid cells. A cytologic diagnosis of infarction in a case of non-Hodgkin's lymphoma (NHL) was made and subsequently confirmed by histopathologic examination. Our case indicates that such cases should be followed up closely and repeated aspirations should be done to prevent a delayed diagnosis of lymphoma.
authors.affiliation: Department of Pathology,Government Medical College, Chandigarh.
authors.forename: Uma
authors.initials: U
authors.lastname: Handa
authors.forename: Harsh
authors.initials: H
authors.lastname: Mohan
authors.forename: Rajpal Singh
authors.initials: RS
authors.lastname: Punia
authors.forename: Ritambhara
authors.initials: R
authors.lastname: Nada
mesh_terms: D000328:Adult; D044963:Biopsy, Fine-Needle; D003937:Diagnosis, Differential; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000473:pathology; D008198:Lymph Nodes / Q000098:blood supply / Q000473:pathology; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis / Q000473:pathology*; D008297:Male