Signet ring cell adenocarcinoma

Topic Completed: 1 April 2015

Minor changes: 23 May 2020

Copyright: 2003-2020, PathologyOutlines.com, Inc.

PubMed Search: Signet ring cell carcinoma[title] cervix

Ashwyna Sunassee, M.D.
Ryan W. Askeland, M.D.
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Page views in 2020 to date: 684
Cite this page: Sunassee A. Signet ring cell adenocarcinoma. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/cervixcytologyadenocarcinomasignet.html. Accessed August 8th, 2020.
Definition / general
  • Associated with high risk HPV
Clinical features
Case reports
Gross description
Cytology description
  • Large vacuole of mucin pushes nuclei to periphery (World J Surg Oncol 2012;10:7)
  • May have prominent nucleoli
  • Note that squamous cell carcinoma may have distended degenerative vacuoles that resemble signet ring cells
Positive stains
  • CEA, CK7, CA125, p16
  • Note:
    • Immunoreactivity to colorectal antigens such as CEA, CDX2 and CK20 in a cervical lesion does not rule out a diagnosis of primary cervical carcinoma
    • Simultaneous CEA+ and CK7+ does not differentiate primary cervical signet ring cell carcinoma and mammary metastatic malignancy (World J Surg Oncol 2012;10:7)
Negative stains
Differential diagnosis
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