Type of Preparation: Conventional Magnification: High Clinical History: 75 year old woman with post menopausal bleeding. Patient has no prior history of malignancy Interpretation: Other Malignant Neoplasms: Malignant lymphoma, large cell type Cytomorphologic Criteria: These single cells in a bloody background have enlarged hyperchromatic nuclei and irregular nuclear membranes. Chromatin is coarse, and irregularly distributed with prominent nucleoli. Explanatory Notes: Involvement of the cervix by malignant lymphoma is rare, and secondary involvement is more common than primary tumors. A large number of atypical lymphoid cells should elicit the diagnosis. The main differential diagnosis is follicular cervicitis. Follow-up: Large cell lymphoma confirmed by cervical biopsy. Additional workup confirmed a diagnosis of lymphoma in other sites