“…Also, advanced signet ring carcinomas are more extensively invasive and are associated with a poorer prognosis than other histologic subtypes. 23,43 Other, less-common sources of signet ring adenocarcinomas are the breast, 29 bladder, 4,5,12,16 ureter, 7 prostate, 15,39 intestine, 42 ampulla of Vater, 14 endometrium 31 and eccrine sweat glands. 45 Signet ring adenocarcinomas have a propensity to invade lymphatics relatively early and to spread diffusely before giving rise to an obvious mass.…”