Introduction: Hematopoiesis usually occurs in bone marrow in adults and when it occurs at sites except for bone marrow, it is termed as extramedullary hematopoiesis (EMH). It is usually found in organs, which are vigorously involved in fetal hematopoiesis, including liver, spleen, and lymph nodes. FNAC is easy and rapid method to diagnose EMH.Aim: To study the spectrum of extramedullary hematopoiesis (EMH) on fine-needle aspiration cytology (FNAC).Material and methods: A total of 10 patients who were diagnosed with EMH on FNAC were studied over a period of 5.5 years. Smears were stained with May Grunwald Giemsa (MGG) and Hematoxylin and Eosin (H and E). The detailed clinical and cytomorphological spectrum of EMH were studied.Results: The mean age of the patient was 42.5 years, with age ranging between 14 and 78 years. The commonest site of EMH was lymph node (n = 8, 80%) followed by paravertebral area (n = 2, 20%). Clinical diagnosis was EMH in just one case. Mean hemoglobin of the patient was 7.9 g/L. Bone marrow examination was available in 6 cases. On FNAC, we saw variable mixture of bone marrow elements including megakaryocytes (2.6%, 0-6%), myelocytes and metamyelocytes (29.2%, 18-33%), erythroid precursors (3.2%, 0-7%), polymorphs (21.7%, 10-36%), blasts (1.1%, 0-4%), eosinophils (2.5%, 0-7%), and lymphocytes (39.7%, 21-60%).Conclusion: Cytopathologists must be alert of the clinical as well as cytological spectrum of extramedullary hematopoiesis for greater accuracy in diagnosis and to escape pitfalls in its diagnosis. K E Y W O R D Scytology, extramedullary hematopoiesis, fine-needle aspiration cytology

Cutaneous metastasis can rarely be the first manifestation of visceral malignancies and is commonly seen in advanced‐stage malignancies. It is infrequently seen in patients with ovarian malignancies and may develop either late in the course of the disease or at the initial presentation. Such cases are often associated with poor prognosis, and a prompt, precise tissue diagnosis is essential for appropriate patient management and better clinical outcome. Herein, we present a case of cutaneous metastasis in a young woman with an undiagnosed abdominopelvic mass that was diagnosed as metastatic high‐grade serous carcinoma (HGSC) on fine‐needle aspiration cytology (FNAC) supplemented by immunocytochemistry (ICC) on the cell block. The index case documents a unique and rare metastatic presentation of ovarian HGSC, as non‐Sister Mary Joseph anterior abdominal wall nodule, at the initial presentation. Additionally, it highlights the utility of minimally‐invasive FNA combined with ICC in prompt and accurate preoperative diagnosis of an underlying ovarian malignancy.