Dear Sir, I need your kind help regarding my father cancer. I have done an FNAC testing for my father Mr. O.P.Agarwal, Age 59 Please check attached/below FNAC Report details. Is this first stage of cancer? Or advance stage? Please advice what next step should I follow. What kind of cancer is this? Do we go with Biopsy first? Surgery is the only option for treatment? SITE OF ASPIRATION: RIGHT SIDED UPPER DEEP CERVICAL LYMPH NODE. MATERIAL ASPIRATED: BLOOD TINGED THIN FLUID MICROSCOPICAL EXAMINATION: Smears show discrete and loose aggregates of atypical squamous cells. These show pleomorphic hyperchromatic nuclei and moderate amount of cytoplasm. Background shows degenerated blood elements. COMMENTS: Metastatic squamous cell carcinoma. ADVICE: Biopsy Please check it and provide your valuable suggestion. Thank you very much for your time and help. Thanks and Regards, Naresh.