“…In addition, pathologists have recently identified signet ring variants of melanoma 36 and lymphoma 17,44 that cannot be distinguished from adenocarcinomas without ancillary studies. Some of these mimics have been successfully diagnosed on cytologic materials, including melanoma 33,41 and lymphoma 24,26,46,47 with signet ring cell morphology. Also, there are numerous nonneoplastic mimics of adenocarcinoma, including signet ring sinus histiocytosis 13,19 and artifactual signet ring cells in association with gastric lymphoma.…”