Case 176. 

Leishmania tropica infection (cutaneous leishmaniasis) (64 y-o M)
       
  Biopsy from a 4 x 2 cm painless neck nodule with central ulceration in a Japanese man who traveled in India  
       

 

  Stamp cytology preparation shows round-shaped amastigotes phagocytized by macrophages (Giemsa). The nucleus and kinetoplast (paranucleus) can be recognized.