case_images: PMC8272497_01
case_images: Metastases of ductal carcinoma breast (WD) (fine-needle aspiration cytology) malignant cells in ductal configuration, (Pap stain, x40)
case_images: JOMFP-25-171-g001.jpg
case_images: PMC8272497_01_JOMFP-25-171-g001.jpg
case_images: F1
case_images: The diagnosis of metastases of well-differentiated ductal carcinoma was offered [Figure 1] with advice to search for primary in the breast.
case_images: PMC8272497_02
case_images: Metastases of ductal carcinoma breast (WD) (fine-needle aspiration cytology) malignant ductal cells in sheets with cellular discohesion and attempted internal ducts, (Pap stain, x40)
case_images: JOMFP-25-171-g002.jpg
case_images: PMC8272497_02_JOMFP-25-171-g002.jpg
case_images: F2
case_images: The diagnosis of metastases of well-differentiated ductal carcinoma was presented [Figure 2] with advice to search for primary in the breast.
case_images: PMC8272497_03
case_images: Metastases of melanocarcinoma (fine-needle aspiration cytology) dissociated round to polygonal melanocytes showing prominent nucleoli, binucleation and cytoplasmic fine melanin pigments, background shows melanin containing macrophages (Giemsa stain, x40)
case_images: JOMFP-25-171-g003.jpg
case_images: PMC8272497_03_JOMFP-25-171-g003.jpg
case_images: F3
case_images: The background showed infrequent melanin containing macrophages [Figure 3].
case_images: PMC8272497_04
case_images: Metastases of small cell carcinoma lung (fine-needle aspiration cytology) nested population of small to intermediate size cell with high N: C, nuclei show pepper salt chromatin and significant nuclear fragility (Giemsa stain, x40)
case_images: JOMFP-25-171-g004.jpg
case_images: PMC8272497_04_JOMFP-25-171-g004.jpg
case_images: F4
case_images: C ratio, hyperchromatic which pepper salt chromatin. Cells show absent to scant blue cytoplasm with plentiful background presence of bruised and fragile nuclei [Figure 4].
case_images: PMC8272497_05
case_images: Metastases of clear cell renal cell carcinoma (fine-needle aspiration cytology) Sheet and tubular structures of cuboidal epithelial cells with low-grade malignant nuclei and cytoplasmic fine vacuoles, (Pap stain, x40)
case_images: JOMFP-25-171-g005.jpg
case_images: PMC8272497_05_JOMFP-25-171-g005.jpg
case_images: F5
case_images: 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 [Figure 5].