Granular cell tumor (GCT) is a rare benign neoplasm of Schwannian origin which accounts of 0.5% of soft tissue tumors. Although the most common site for GCT is tongue, it can occur at any site. GCT presenting as cutaneous nodule is rare, however cases have been reported in literature. We hereby document a case of 30 year female with a hyper‐pigmented cutaneous nodule of anterior chest wall on the milk‐line mimicking as an ectopic breast, diagnosed as GCT on fine needle aspiration cytology. We also add a note on the differential diagnoses of GCT with differentiating cytological features to emphasize on the correct diagnosis of GCT pre‐operatively.

Extramedullary haematopoiesis (EMH) is a compensatory mechanism that occurs when there is deficient bone marrow haematopoiesis secondary to either peripheral red cell destruction or marrow replacement. 1 EMH is the appearance of haematopoietic tissue outside of the bone marrow, which may be composed of two or three haematopoietic cell lineages. 2 In routine cytology practice, it is unusual to encounter extramedullary proliferations of bone marrow elements. EMH is a rare complication of chronic myeloid leukaemia (CML) which can be encountered in the liver, spleen and, rarely, in the lymph nodes. The development of EMH in CML does not usually affect the prognosis of patients; however, the presence of a marrow proliferation in a lymph node would indicate an immediate search for an underlying bone marrow neoplasm and prompt a haematological evaluation, including review of haemogram, peripheral blood smear, and possibly a bone marrow aspiration and biopsy. 3 Here, we report a case of EMH in the axillary lymph node of 67-year-old man with CML in chronic phase which was diagnosed on cytology based on the identification of all the three lineages of haematopoietic cells with a background of reactive lymphoid cells. | C A S E REP ORTA 67-year-old man presented to medicine outpatient department with easy fatigability, early satiety, dyspnoea on exertion and weight loss for 2 months. He had no complaints of fever and bleeding manifestations or any history of hospitalisation. On physical examination, he had pallor, left axillary lymphadenopathy and splenomegaly.The axillary lymph node which measured 2 × 2 cm was firm, mobile and non-tender. The patient was subjected to fine needle aspiration (FNA) cytology from the axillary node with a clinical possibility of tuberculosis. May-Grünwald Giemsa-and Papanicolaou stained smears revealed a polymorphous population of reactive lymphoid cells admixed with few neutrophils, eosinophils, occasional basophils and tingible body macrophages. In addition, there were scattered large giant cells with lobulated nuclei and some giant cells with large round nuclei, simulating the morphology of large and small megakaryocytes, respectively. Furthermore, we could appreciate a few precursor forms of myeloid and erythroid lineage cells. There was no granuloma or malignancy. Hence, we reported the smears as suggestive of extramedullary haematopoiesis with a note for detailed haematological evaluation (Figures 1A-D and 2A).On haematological evaluation, he was found to have a total leucocyte count of 369.57 × 10 9 /L, haemoglobin 55 g/L and platelets 161 × 10 9 /L. A peripheral blood smear showed hyper-leucocytosis with myeloid bulge and blast accounting for less than 2% with basophilia ( Figure 2B). The haematological diagnosis was CML-chronic phase (BCR-ABL1 positive proven on peripheral blood). Later, bone marrow examination revealed 100% cellularity and myeloid hyperplasia with a full range of maturation. The blast cells constituted <5% on morphology as well as on immunohistochemistry for CD34 and C...

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Paget's disease though common in female is rarely described in male breast. It can easily be diagnosed by scrape cytology which can serve as a diagnostic as well as a screening modality for such lesions.

Albeit being rare, the testicular lymphoma is the most common testicular malignancy in elders. In early stages, its symptoms are non-specific and can mimic other underlying diseases. The available knowledge of cytology on this entity is not adequate. In case when a clinician comes across a testicular enlargement case, a decision has to be made when to send the patient for FNAC. Similarly, the pathologist who is assessing the patient should also make a decision whether to perform Fine Needle Aspiration Cytology (FNAC) on the patient or not, and what morphology is expected on cytological smears to be able to confidently call it testicular lymphoma. We have undertaken this study to serve the purpose of enhancing the sparse knowledge available on this disease, dealt with its multiorgan involvement, and explained how FNAC is a valuable utility in testicular enlargement cases in which serological markers of testicular malignancy are negative.