A 52-year- old lady presented with episodic spotting pervaginum. On general physical examination, the only significant finding was a 1.5 cm, firm, mobile, left supraclavicular lymph node. Fine needle aspiration (FNAC) from the left supraclavicular lymph node showed a metastatic carcinoma. The patient was investigated for detection of the primary malignancy. She was referred to the gynecologist, who took a cervical Pap smear.
The Pap smear revealed mainly clusters as well as scattered cells showing moderate pleomorphism (Figure 1). The cells had a moderate amount of cytoplasm, coarsely clumped granular chromatin and inconspicuous nucleoli. It was reported as positive for squamous cell carcinoma by the cytopathologist, who also advised colposcopy and biopsy confirmation. Colposcopical examination of the cervix was performed which showed no significant abnormality. A cervical biopsy and…
