iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2022.v03i02.003Cytodiagnosis of Lymph Node Metastasis of Basaloid Squamous Cell Carcinoma: A Diagnostic DilemmaKavitaMardiTenzinLhanzeDingyonDepartment of Pathology, IGMC, Shimla, IndiaBasaloid Squamous Cell Carcinoma (BSCC) is an unusual variant of Squamous Cell Carcinoma (SCC) with a predilection for the upper aerodigestive tract. Their occurrence in the tonsil is rare. Their histological features are well described. However their cytological features are not very well described. We describe the cytological features of a case of BSCC of tonsil metastatic to submandibular lymph node. The presence of variably sized hyaline stromal globules and finger like cords of hyaline stream fragments along with pleomorphic basaloid tumor cells in the lymph node mimicked metastatic adenoid cystic carcinoma. However histopathological examination and immunohistochemistry confirmed the BSCC of the tonsil with metastatic deposits in the submandibular lymph node. We also discuss the diagnostic pitfalls in the cytological diagnosis of BSCC.