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Far more common than lymphomas are metastases involving lymph nodes. Seen here are sections across very enlarged nodes that contain metastases. Metastatic tumor can produce a firm, homogenous white appearance in nodes up to 1 to 2 cm. However, the larger the metastases, the more likely that there will be areas of necrosis, hemorrhage, and fibrosis that give the cut surface a variegated appearance, as seen here. On physical examination, such nodes are often enlarged and non-tender. |