Table 1.

 Details of the 4 cases reported here

Case	Site	Type of granuloma	IHC	Diagnosis
1	1 of 10 lymph nodes	Necrobiotic	Negative	Necrobiotic granulomatous
2	9 of 20 lymph nodes	Necrobiotic and epithelioid granulomata (1 node); necro-biotic granulomata (1 node); epithelioid granulomata adjacent to metastases (5 nodes); epithelioid granulomata without associated metastatic carcinoma (2 nodes)	Positive	Metastatic tumour necrosis with granulomatous inflammation
3	Stroma	Necrobiotic	Positive	Tumour necrosis with granulomatous inflammation
4	5 of 9 lymph nodes	Necrobiotic (2 nodes); epithelioid (3 nodes)	Negative	Necrobiotic granulomatous lymphadenitis

IHC, immunohistochemistry.