Papillary Clusters in an Aspiration Biopsy of a Cervical Lymph Node
Rusmir Feratovic, MHA, CT(ASCP) and Melissa Yee-Chang, DO
Presentation Date: June 2012; Expires: June 2015
A 44 year old male presented with severe diarrhea for 4 years with weight loss of 60 lbs over 1 ½ years. The patient was diagnosed at an outside institution with irritable bowel disorder/syndrome after a GI work-up. He underwent additional studies which revealed thyroid and lung nodules. An ultrasound of the thyroid gland showed a suspicious nodule measuring 5.2 x 2 x 2.3cm in the right lobe and suspicious right level 2, level 3, and level 4 cervical lymph nodes. A CT scan of the chest showed multiple irregular bilateral pulmonary nodules, which were consistent with metastases. Mediastinal and right hilar lymphadenopathy was also present. A fine needle aspiration biopsy (FNA) of the right neck lymph node was performed for a diagnostic work-up.