Small cell lung carcinomaMultiple metastases in Inguinal node and Anterior abdominal wall -A rare presentation and FNAC diagnosis - an oddity in rarity

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Small cell lung carcinoma (SCLC), a highly aggressive cancer accounts for about 13% of all lung cancers, has a strong association with heavy smoking. The common sites of metastases are intrathoracic and supraclavicular nodes. The extrathoracic nodal metastases is a rare clinical presentation. Here we report a rare case of Small cell lung carcinoma metastasing to extra thoracic sites as an interesting first clinical presentation. With the first diagnostic modality, Fine needle aspiration cytology (FNAC), it was reported as Metastatic deposits with the possibility of Primary from Small cell lung Carcinoma which was further followed by lung biopsy with Histopathological examination(HPE) and Immunohistochemistry (IHC) confirmation.