KROK 1 2010 – Question 183 · KROK (Medicine) · Pathomorphology
A 23 year old man has perforation of hard palate. In the area of this perforation there was a compact well-defined formation. Microscopic examination of the resected formation revealed a large focus of caseous necrosis surrounded by granulation tissue with endovasculitis, cellular infiltration composed of lymphocytes, epithelioid cells (mainly plasmocytes). What is the most probable diagnosis?
- A. Leprosy
- B. Scleroma
- C. Syphilis
- D. Tuberculosis
- E. Sarcoma
Hint
Look at the cell types in the infiltrate and the vascular changes next to the necrosis, and ask which chronic infection gives this pattern in the palate.
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