Breast cancer rarely metastasises to the gastrointestinal tract. Lobular carcinoma more commonly metastasises to the uterus and appendages, peritoneum, and gastrointestinal tract than other types of breast cancer, while ductal carcinoma has a propensity to metastasise to the lungs, liver, and brain. We describe the case of a patient with no known history of breast cancer, whose primary presentation of lobular breast cancer was with malignant small intestinal and colonic strictures, with coexisting previously undiagnosed adenocarcinoma of the colon.

Angioimmunoblastic T cell lymphoma is a common form of peripheral T cell lymphoma with a generally poor prognosis. Cytological diagnosis is challenging due to the differential diagnoses including benign and malignant entities. A multimodality approach involving conventional cytology, immunocytochemistry and flow cytometry is critical in making the diagnosis.

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