Palisading granulomas are a subtype of necrotizing granuloma in which the mononuclear phagocytes at the periphery have elongated or spindle-shaped nuclei that are palisaded and arranged roughly parallel to each other and roughly perpendicular to the edge of the central necrotic zone.
The most common are rheumatoid nodules and post-surgical necrobiotic granulomas occurring in the prostate, urinary bladder, and other sites. They have also been reported in Churg-Strauss disease, foreign body granulomatous reactions, cutaneous T-cell lymphoma, Wegener’s granulomatosis, and a in a variety of infections (non-tuberculous mycobacteriosis, cat scratch disease, phaeohyphomycosis, sporotrichosis, cryptococcosis, coccidioidomycosis, syphilis)
Fibrin ring granuloma. Q fever. Liver
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