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Related Experiment Videos

Signet-ring clear-cell basal cell carcinoma.

R E Cohen1, M T Zaim

  • 1Department of Pathology, Western Reserve University, Cleveland, Ohio 44106.

Journal of Cutaneous Pathology
|June 1, 1988
PubMed
Summary

This study reports a rare signet-ring, clear-cell variant of basal cell carcinoma. Histopathology suggests differentiation towards outer root sheath cells.

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Area of Science:

  • Dermatopathology
  • Oncology
  • Cell Biology

Background:

  • Basal cell carcinoma (BCC) exhibits diverse histopathologic variants.
  • These variants often reflect differentiation along squamous, follicular, eccrine, or sebaceous lines.

Observation:

  • A rare signet-ring, clear-cell variant of BCC was identified.
  • Histopathologic features included dermal nests with peripheral palisading and folliculocentric arrangement.
  • Tumor cells were glycogen-rich, mucin-negative, pankeratin-positive, and negative for cytokeratin, S100 protein, and CEA.

Findings:

  • The unique histopathologic and immunohistochemical profile supports a distinct BCC variant.
  • Special stains revealed glycogen-rich clear cells, differentiating it from other BCC subtypes.

Implications:

  • This finding expands the spectrum of known basal cell carcinoma histopathologic variants.
  • The proposed differentiation towards outer root sheath cells offers insights into BCC tumorigenesis.
  • Understanding rare variants aids in accurate diagnosis and potentially targeted therapies.

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