A 56-year-old female came with the chief complaints of deep nodular swelling in the left parotid region. The examination of the nodule revealed firm to hard in consistency with restricted mobility. The swelling was solitary. FNAC was carried out. Smears revealed discohesive cell sheets with internal attempted ducts. The cells carried hyperchromatic pleomorphic nuclei with irregular chromatin and infrequent nucleoli. The nuclei of the cell sheets showed rare mitosis. The background was hemorrhagic with dissociated malignant cells. The diagnosis of metastases of well-differentiated ductal carcinoma was presented [] with advice to search for primary in the breast. On examination, left breast revealed 1.5 cm lump in the upper outer quadrant. The lump underwent FNAC followed by tru-cut biopsy. The offered diagnosis on these investigations was of well-differentiated ductal carcinoma. The patient later underwent surgical management for the lump in the left breast.
A 45-year-old female presented to the general surgery OPD with nodular swelling in the right parotid region. The examination of the nodule revealed firm-to-hard consistency with restricted mobility. The swelling was single in the preauricular area. FNAC was carried out. Smears revealed a typical ductal cell carcinoma cytomorphology that showed the cytoarchitecture of sheets and ductal placements of malignant ductal cells. The background showed tumor necrosis and malignant diathesis. The diagnosis of metastases of well-differentiated ductal carcinoma was offered [] with advice to search for primary in the breast. On examination, ipsilateral breast revealed 2 cm lump in the upper inner quadrant. The lump underwent FNAC followed by tru-cut biopsy. The offered diagnosis on these investigations was of well-differentiated ductal carcinoma. The patient later underwent the surgical management for the lump in the right breast.