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Atypical and malignant granular cell tumors are relatively uncommon constituting 1-2% of all granular cell tumors. We present a case of 57 year old man known to have squamous cell carcinoma of anal canal in 2008, now presenting with a chest wall nodule of 2 months duration. Fine needle aspiration of the chest wall nodule yielded atypical pleomorphic cells with abundant granular cytoplasm and vesicular nuclei with prominent nucleoli and intranuclear inclusions. A biopsy was advised and tru cutdoi:10.18535/jmscr/v4i9.24 fatcat:tsakeset2nf6rez7f3ck74c63y