Type of Preparation: Conventional Magnification: High Clinical History: 89 year old woman with hx of high grade urothelial carcinoma diagnosed two years previously Interpretation: Other malignant neoplasms: metastatic transitional cell carcinoma Cytomorphologic Criteria: Single and small aggregates of malignant cells are diagnostic of a poorly differentiated carcinoma. A mitotic figure and a bloody background are also noted. The findings are compatible with the patient's previous high grade tumor. Explanatory Notes: Transitional cell carcinoma is one of the most commonly encountered secondary tumors in cytologic cervical samples, and may involve the cervix/ vagina by direct extension or as a pagetoid spread to the vagina. Its cytologic features may overlap with squamous cell carcinoma.