CASE 343: TB AXILLARY NODES, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

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case-343-tb-axillary-nodes-

Woman 49 yo, on mammography screening detected  many  left axillary nodes and calcification, no  detected tumor in mammary gland (see mammogram).

Ultrasound  of left   axillary  found  many  lymph nodes,   sizes of 1-2 cm,  round

and  calcification  inside node ( US picture 1). 

CDI cannot  detect  hilus  of nodes, no vascular signal  in  nodes, ( US 2, US 3). Elastoscan  US of this  node was hard,    17.3 kPa ( US 4)

MRI  with  FAST SCAN   DWI..made sure  no tumor intra  left  breast and  

axillary nodes.

Biopsy   removed one  big node with  structure  inside  look liked  caseum.

Microscopy result was   tuberculosis  with  typical  big cell  LANGHANS.

CONCLUSION: Tuberculosis of axillary lymph nodes..