Signet ring cell differentiation in adenocarcinoma of the prostate is
uncommon. In a review of 200 cases of prostatic carcinoma, we identifi
ed five cases with this change, all in moderately to poorly differenti
ated prostatic carcinomas. The signet ring cells in prostatic carcinom
a contain an intracytoplasmic lumen, shown on electronmicroscopy to be
lined by microvilli. Transition stages were seen from solid to acinar
to signet ring cells to mucinous variants. We believe that this chang
e is part of the spectrum of appearances of prostatic carcinoma and sh
ould not be regarded as a subtype of specific significance.