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Case 2: Submandibular Neck FNA

Sorry, this was not a reactive lymph node.

Reactive lymph nodes are fairly cellular on FNA and show a spectrum of cell types from small lymphocytes to large activated immunoblasts (slides 1-3). Germinal center fragments and tangible body macrophages are commonly present. The polymorphous cell population is the most helpful feature (slide 4).

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Reactive Lymph Node Slide 1

Reactive Lymph Node Slide 2

Reactive Lymph Node Slide 3

Reactive Lymph Node Slide 4