Table of Contents
Definition / general | Terminology | Case reports | Gross images | Microscopic (histologic) description | Microscopic (histologic) images | Positive stains | Negative stains | Differential diagnosisCite this page: Acantholytic subtype of squamous cell carcinoma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/breastmalignantsccacantholytic.html. Accessed July 14th, 2017.
Definition / general
- Acantholysis (lack of cell adhesion) is due to a desmosomal defect, possibly alteration in keratins (Cell Cycle 2008;7:2021)
- May be very aggressive
Terminology
- Also called pseudoglandular or adenoid squamous cell carcinoma
Case reports
- 57 year old woman (Cesk Patol 2011;47:184)
- 60 year old woman (Ecancermedicalscience 2011;5:214)
Gross images
Microscopic (histologic) description
- Pseudovascular or pseudoglandular appearance due to tumor cell discohesiveness
- Lining is composed of squamous epithelium and spaces with necrotic debris and keratin
Microscopic (histologic) images
Positive stains
- Myoepithelial markers: CK14, CD10, p63 (Cesk Patol 2011;47:184)
- May have EGFR overexpression (Virchows Arch 2005;446:305)
Negative stains
- EMA, factor VIII, PAS and alcian blue
Differential diagnosis
- Angiosarcoma: endothelial cells line spaces and are CD31+, CD34+, keratin- (Am J Surg Pathol 1986;10:855, Head Face Med 2008;4:17)
- Phyllodes tumor
- Sarcoma











