In this case, there are many macrophages present in the sample (see the surrounded area on the photo as an example). Macrophages - which originate from monocytes - are one of five different types of white blood cells (leukocytes), which play an important role in the functioning of the immune system. A macrophage is a round or oval cell with a diameter of 12 to 20 microns and is therefore larger than a red blood cell.
In chronic granulomatous inflammation granuloma often occur. A granuloma - a type of thickness or lump - is an accumulation of the cells. It occurs when the immune system cannot properly clean up inflammation.
With thanks to Cees Koopman, veterinarian.
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