Case Of the Week


Case 17

This section of lymph node reveals metastases. The metastases are composed of glandular configurations with pleomorphic cells and hyperchromatic nuclei, consistent with adenocarcinoma. A wide variety of primary sites are possible. The most likely primary site is the organ from which the lymph drainage occurs--indicative of local or regional spread. A physical examination may reveal firm, non-tender, enlarged lymph nodes.
Our winner is: Igor Shendrik MD of New York, New York, USA


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