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CASE REPORT
Year : 2017  |  Volume : 6  |  Issue : 4  |  Page : 410-411

Bilateral inguinal lymphadenopathy presenting as tuberculosis in a case of carcinoma rectum


1 Department of Pulmonary Medicine, Dr. S.N. Medical College, Jodhpur, Rajasthan, India
2 Consultant Pathologist, SRL Laboratories, Jodhpur, Rajasthan, India
3 Consultant Oncologist Vyas Oncology Centre, Jodhpur, Rajasthan, India

Correspondence Address:
Sunil Vyas
Department of Pulmonary Medicine, Dr. S.N. Medical College Jodhpur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmy.ijmy_134_17

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Isolated bilateral inguinal tubercular lymphadenitis is a very rare presentation. A 59-year-old male, on treatment for Carcinoma rectum (T3 N1 M0) presented with bilateral inguinal lymphadenopathy. Metastasis and tuberculosis were considered for differentials. FNAC of the lesion showed Necrotizing granulomatous lymphadenitis. There was regression of the lesion on both sides after two months of Anti-tubercular Therapy. Even though Metastasis is the commonest cause of inguinal lymphadenopathy in a case of carcinoma rectum, Tuberculosis needs to be considered in the differential diagnosis in our country. FNAC/Biopsy can be considered in those patients to confirm the diagnosis.


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