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Signet ring cell carcinoma (SRCC) is a rare form of highly malignant adenocarcinoma [1] that produces mucin. It is an epithelial malignancy characterized by the histologic appearance of signet ring cells .
Tumor cells describe irregular tubular structures, harboring pluristratification, multiple lumens, reduced stroma ("back to back" aspect). Sometimes, tumor cells are discohesive and secrete mucus, which invades the interstitium producing large pools of mucus. This occurs in mucinous adenocarcinoma, in which cells are poorly differentiated.
A mucinous neoplasm (also called colloid neoplasm) is an abnormal and excessive growth of tissue with associated mucin (a fluid that sometimes resembles thyroid colloid). It arises from epithelial cells that line certain internal organs and skin, and produce mucin (the main component of mucus ).
Micrograph showing typical features of adenocarcinoma on cytopathology . Vacuoles are more prominent in mucinous tumors but can be seen in serous tumors as well. Adenocarcinoma [ 1 ] ( / ˌ æ d ɪ n oʊ k ɑːr s ɪ ˈ n oʊ m ə / ; plural adenocarcinomas or adenocarcinomata / ˌ æ d ɪ n oʊ k ɑːr s ɪ ˈ n oʊ m ə t ə / ; AC ) is a ...
IDCP associated with invasive carcinoma (IDCP-inv) generally represents a growth pattern of invasive prostatic adenocarcinoma while the rarely encountered pure IDCP is a precursor of prostate cancer. [20] The diagnostic criterion of nuclear size at least 6 times normal is ambiguous as size could refer to either nuclear area or diameter.
Acinar adenocarcinoma of the lung is a highly lethal disease. Overall, the five-year survival rates approximate 16% to 22%. Generally, survival is better in all stages for patients with the acinar (or papillary) pattern than it is in patients with the solid pattern, but considerably worse than those with the bronchioloalveolar pattern.
The term mucinous adenocarcinoma is used in different contexts depending on the reference material used by the pathologist for disease classification. For example, neoplasms characterized by high-grade features, invasive glands and or signet ring cells, are termed adenocarcinoma in pathology literature. [8]
Informally, some experts have included these tumors as a distinct variant among a spectrum of mucus-producing adenocarcinomas, including — in order of increasing relative extent of cellular mucus production and extracellular mucus accumulation — solid adenocarcinoma, mucoepidermoid carcinoma, mucinous bronchioloalveolar carcinoma, signet ...