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.
A 65-year-old male patient sort medical advice for complains of hematuria, lump in abdomen and shortness of breath along with a nodular swelling in the right parotid. The patient was provisionally diagnosed of lump in the abdomen probably malignant arising from right kidney. Meanwhile, his workup for other complains was being carried out, nodule in the right parotid underwent FNAC. It revealed the tubular structures of cuboidal epithelial cells in isolation or within the sheets of cells. The cells carry low-grade malignant nuclei but revealed vacuolated clear appearing cytoplasm with little granularity in a few. Background of smear shows fine vesicles of lipids with few loops of endothelial cells due to consideration to his clinical presentation, a diagnosis highly suspicious of metastases of clear cell RCC was offered []. The patient underwent multiple investigations. FNAC from the sites of renal mass and suspected metastatic nodule of the left lung revealed the cytomorphology consistent with RCC and metastases of RCC in the lung, respectively.\nSuperficial parotidectomy was performed in one case of melanoma. The other cases (n = 2) of metastatic ductal carcinoma breast underwent excision of the nodule within the parotid. The cases diagnosed with metastases of small cell carcinoma and RCC underwent medicinal management (chemotherapy). All five cases showed complete concordance between cyto-histological diagnoses.