Malignant chondroid syringoma, also called malignant mixed tumor of th
e skin, is a rare variant of a malignant tumor derived from sweat glan
d cells. Histologically the tumor is composed of an epithelial and a m
esenchymal component. The epithelial structures show glandular differe
ntiation and carcinomatous features. They are embedded in a mucinous s
troma with spindle mesenchymal cells and areas of chondroid differenti
ation. The epithelial cells express cytokeratins. The luminal epitheli
al cells show binding to the lectin Ulex europaeus; intraluminal cells
are carcinoembryonic antigen positive. The stromal cells are cytokera
tin negative and sporadically positive for vimentin. Chondroid areas a
re S-100 protein and vimentin positive. No labeling for actin is seen.