Malignancies causing inguinal lymphadenopathy in females are primarily carcinomas of the uterine cervix and vagina. Rarely, malignancies from other sites can involve inguinal lymph nodes and show non-classical findings like exuberant calcification. The case describes the cytological findings of extensive calcification in metastatic deposits of squamous cell carcinoma of the skin involving bilateral inguinal lymph nodes in a patient with epidermodysplasia verruciformis, a rare event. Despite difficult needling, the yield was sufficient to clinch the diagnosis on fine-needle aspiration cytology.
Keywords: Calcification, Squamous cell carcinoma, Epidermodysplasia verruciformis, Fine-needle aspiration cytology.