Cytology of a subcutaneous nodule on hand: A rare case

A 35-year-old male, presented with a slow growing painless cutaneous nodule of 1.5 cm size of 6-month duration. On local examination, single well defined, freely mobile, non-tender skin nodule was found over the dorsum of right hand. Fine needle aspiration of the swelling yielded particulate material. The cytosmears were highly cellular and showed three population of cells comprising of cohesive clusters of larger cells, discretely lying larger cells and smaller lymphocyte like cells. (Figure 1) The cohesive cells were larger with round nuclei, pale chromatin and moderate amount of cytoplasm. Focal rosette like arrangement were noted. The larger scattered cells were in the form of naked nuclei with fragile cytoplasm giving a glycogenated appearance to the background. The third population of cells comprised of smaller cells with a coarsely clumped clock face appearing chromatin resembling lymphocytes. There was no mitosis, nuclear atypia or necrosis. (Figure 2).