cases, metastatic Week 446: Case 2 April 26, 2023 pathadmin 1. Presented by William Westra, M.D. and prepared by Rui Zheng, M.D., Ph.D.60 year-old man with history of tonsillar carcinoma. Now with a new hypopharyngeal carcinoma and an axillary mass. The specimen is a fine needle aspirate of the axillary mass.Epidermal inclusion cystMetastatic tosillar carcinomaMetastatic cutaneous squamous cell carcinomaMetastatic breast carcinoma 1. Presented by William Westra, M.D. and prepared by Rui Zheng, M.D., Ph.D.60 year-old man with history of tonsillar carcinoma. Now with a new hypopharyngeal carcinoma and an axillary mass. The specimen is a fine needle aspirate of the axillary mass.