Bilharzial splenomegaly (page 128)
Organ : Spleen
Description :
· A hugely enlarged spleen. The enlargement is uniform, retaining its shape.
· Consistency : Firm ( Marked congestion )
· Color : Deep red
· Capsule : Thickened & grayish white due to fibrosis
· Perisplenitis : Patchy. Occur over areas of subcapsular haemorrhage & heals by fibrosis forming slightly raised white patches.
Milliary Tuberculosis – Spleen (page 131)
Organ : Spleen
Description :
· Enlarged
· Cut section : 1 ) Studded with numerous tubercles distributed all over the spleen, but more condensed near the periphery
2 ) Multiple yellow caseating tubercles with central cavitation
· Tubercles :
1. Rounded
2. Soft
3. Showing central yellow cheesy necrotic tissue
Lymphoma of the spleen - page 132-133
Organ : Spleen
Description :
· Enlarged
· Cut section : Large well circumscribed grayish white well defined non – encapsulated tumor formed of multiple coalescent nodules
· Tumor : Shows foci of necrosis
Tuberculous lymphadenitis - page 134
Organ : Lymph nodes
Description :
· Group of lymph nodes – Enlarged & matted together
· Cut surface : Show numerous areas of yellowish cheese like necrotic tissue
Lymphoma ( Hodgkin’s ) page 135
Organ : Lymph nodes
Description :
· Group of lymph nodes – Enlarged , firm & discrete
· Lymph nodes – Variable in size , smooth surface
· Cut surface : Tan – coloured with foci of necrosis
TSPECIAL THX TO Areqa Arsof n Iezzaty Md Shah
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