Malignant bone tumors with epithelial differentiation are extremely rare. A primary carcinosarcoma arising in bone is characterised by the presence of both epithelial and mesenchymal differentiation. Herein we report an extremely rare case of primary chondroblastic osteosarcoma with true divergent glandular differentiation in a twenty-nine year old female. Microscopic sections reveal a high-grade chondroblastic osteogenic sarcoma with definite areas showing neoplastic osteoid formation and nests, cords and acinar (glandular) structures with cytokeratin positivity suggesting definitive epithelial glandular differentiation. Our case illustrates the ability of osteosarcomas to show epithelial differentiation characterized both by cytokeratin expression and differentiation to adenocarcinomatous cells displaying distinct glandular differentiation
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.