Signet ring cell

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File:Signet ring cells 5.jpg
High magnification micrograph showing signet ring cells, with clear cytoplasm, in metastatic breast carcinoma. H&E stain.
File:Gastric signet ring cell carcinoma histopatholgy (2) PAS stain.jpg
Signet ring cells (magenta) stained with PAS in a gastric signet ring cell carcinoma.

In histology, a signet ring cell is a cell with a large vacuole, the malignant type is seen predominantly in carcinomas.

Signet ring cells are most frequently associated with stomach cancer,[1] but can arise from any number of tissues including the prostate,[2] bladder, gallbladder,[3] breast, colon,[4] ovarian stroma and testis.[5]

Types

The NCI Thesaurus identifies the following types of signet ring cell

Appearance

The name of the cell comes from its appearance; signet ring cells resemble signet rings. They contain a large amount of mucin, which pushes the nucleus to the cell periphery. The pool of mucin in a signet ring cell mimics the appearance of a finger hole and the nucleus mimics the appearance of the face of the ring in profile.

Diagnostic significance

A significant number of signet ring cells, generally, are associated with a worse prognosis.[6][7]

Classification of carcinomas

SRC carcinomas can be classified using immunohistochemistry.[8]

See also

References

  1. Cancer Research UK. Signet Ring Cancer. cancerhelp.org.uk. URL: http://www.cancerhelp.org.uk/help/default.asp?page=7581. Accessed on: November 2, 2007.
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  7. Cabebe EC, Mehta VK, Fisher G. Gastric Cancer. eMedicine.com. URL: http://www.emedicine.com/med/topic845.htm. Accessed on: November 8, 2007.
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External links