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Figure 5.

Figure 5

Suspicious ascitic fluid* showing: a- Cluster of atypical cells with moderate pleomorphism, some with high nuclear to cytoplasmic ratio & prominent nucleoli (arrows) (Pap 40×). b- Negative immunocytochemical expression of CAL (arrow) (40×). c- Positive immunocytochemical expression of CEA with brown cytoplasmic staining with moderate intensity (arrow) (40×). * Final diagnosis was Metastatic Adenocarcinoma effusion.