Ovarian Basaloid Carcinoma with Shadow Cell Differentiation

So-called shadow cell differentiation (SCD) is typical for pilomatrixoma and other skin lesions with follicular differentiation, but it was rarely described also in some visceral carcinomas. We report a case of ovarian basaloid carcinoma with SCD. The tumor presented as a 14 cm ovarian mass in a 45-...

Full description

Saved in:
Bibliographic Details
Main Authors: Michal Zamecnik, Daniel Jando, Peter Kascak
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2014/391947
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832550073147326464
author Michal Zamecnik
Daniel Jando
Peter Kascak
author_facet Michal Zamecnik
Daniel Jando
Peter Kascak
author_sort Michal Zamecnik
collection DOAJ
description So-called shadow cell differentiation (SCD) is typical for pilomatrixoma and other skin lesions with follicular differentiation, but it was rarely described also in some visceral carcinomas. We report a case of ovarian basaloid carcinoma with SCD. The tumor presented as a 14 cm ovarian mass in a 45-year-old woman, and therefore the adnexectomy and hysterectomy were performed. The tumor was of high stage. Multiple metastases were found in the liver, retroperitoneal and mediastinal lymph nodes, and the lung. Histologically, the tumor showed a pattern of high-grade basaloid carcinoma with numerous shadow cells. Extensive histologic examination did not reveal any glandular or preexisting teratoma component. Immunohistochemically, the tumor expressed markers of squamous cell differentiation, such as p63, cytokeratin 5/6, and high-molecular-weight keratin. Cytokeratin 7 and CA125 were positive in scattered cells of the lesion. Estrogen and progesterone receptor, vimentin, and p53 were negative. Beta-catenin showed nuclear and cytoplasmic positivity, indicating possible tumor proliferation/differentiation via Wnt signaling pathway. To our knowledge, SCD in basaloid carcinoma of the ovary was not described before. In addition to the description of the case, we review the literature on SCD in visceral carcinomas.
format Article
id doaj-art-685836f827d64ff790caac2a537c6589
institution Kabale University
issn 2090-6781
2090-679X
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Pathology
spelling doaj-art-685836f827d64ff790caac2a537c65892025-02-03T06:07:48ZengWileyCase Reports in Pathology2090-67812090-679X2014-01-01201410.1155/2014/391947391947Ovarian Basaloid Carcinoma with Shadow Cell DifferentiationMichal Zamecnik0Daniel Jando1Peter Kascak2Medicyt, s. r. o., Department of Surgical Pathology, Laboratory Trencin, Legionarska 28, 91171 Trencin, SlovakiaDepartment of Radiology, Faculty Hospital, 91171 Trencin, SlovakiaDepartment of Obstetrics and Gynecology, Faculty Hospital, 91171 Trencin, SlovakiaSo-called shadow cell differentiation (SCD) is typical for pilomatrixoma and other skin lesions with follicular differentiation, but it was rarely described also in some visceral carcinomas. We report a case of ovarian basaloid carcinoma with SCD. The tumor presented as a 14 cm ovarian mass in a 45-year-old woman, and therefore the adnexectomy and hysterectomy were performed. The tumor was of high stage. Multiple metastases were found in the liver, retroperitoneal and mediastinal lymph nodes, and the lung. Histologically, the tumor showed a pattern of high-grade basaloid carcinoma with numerous shadow cells. Extensive histologic examination did not reveal any glandular or preexisting teratoma component. Immunohistochemically, the tumor expressed markers of squamous cell differentiation, such as p63, cytokeratin 5/6, and high-molecular-weight keratin. Cytokeratin 7 and CA125 were positive in scattered cells of the lesion. Estrogen and progesterone receptor, vimentin, and p53 were negative. Beta-catenin showed nuclear and cytoplasmic positivity, indicating possible tumor proliferation/differentiation via Wnt signaling pathway. To our knowledge, SCD in basaloid carcinoma of the ovary was not described before. In addition to the description of the case, we review the literature on SCD in visceral carcinomas.http://dx.doi.org/10.1155/2014/391947
spellingShingle Michal Zamecnik
Daniel Jando
Peter Kascak
Ovarian Basaloid Carcinoma with Shadow Cell Differentiation
Case Reports in Pathology
title Ovarian Basaloid Carcinoma with Shadow Cell Differentiation
title_full Ovarian Basaloid Carcinoma with Shadow Cell Differentiation
title_fullStr Ovarian Basaloid Carcinoma with Shadow Cell Differentiation
title_full_unstemmed Ovarian Basaloid Carcinoma with Shadow Cell Differentiation
title_short Ovarian Basaloid Carcinoma with Shadow Cell Differentiation
title_sort ovarian basaloid carcinoma with shadow cell differentiation
url http://dx.doi.org/10.1155/2014/391947
work_keys_str_mv AT michalzamecnik ovarianbasaloidcarcinomawithshadowcelldifferentiation
AT danieljando ovarianbasaloidcarcinomawithshadowcelldifferentiation
AT peterkascak ovarianbasaloidcarcinomawithshadowcelldifferentiation