A case of prostatic signet-ring adenocarcinoma is described in a man w
ith a history of open prostatectomy for prostate carcinoma (18 years p
reviously). Immunostaining confirmed the prostatic origin of the signe
t-ring tumor which stained for prostatic acid phosphatase (PSAP) and p
rostate specific antigen (PSA). Cytokeratin immunostaining showed the
vacuoles to be true lamina with clear and distinct outlines, the featu
re confirmed by ultrastructural examination. This aggressive tumor is
an uncommon but distinct variant of primary prostatic carcinoma which
should be distinguished from artefactual vacuolation of tumor, inflamm
atory and stromal cells, and metastatic disease.