Table 2

List of case reports on patients with signet-ring cell carcinoma of unknown primary

Author (year)Age (years), genderChief complaintsImmunohistochemistryTherapySurvival
Gregoire et al (2014)866, femaleAbdominal painPositive for ER and PR receptorsECF, tamoxifen and letrozole24 months
70, femaleDyspnoeaPositive for ER and PR receptors, CK-7Tamoxifen, letrozole and fulvestrant15 months
Unknown, femaleAbdominal painPositive for ER and PR receptors; CK-7Tamoxifen and letrozole37 months
Al-Taee et al (2018)1073, maleNausea, vomiting and abdominal painPositive for CK-7, CK-20, and E-cadherinNoneUnknown
O’Kane et al (2018)970, maleIncidental finding on imaging after motor vehicle accidentPositive for CK-7 and CK-20None3 months
Kusakari et al (2007)3346, maleIncidental mass on chest imagingPositive for CK-7Cisplatin, irinotecan, and S-124 months
Heidemann et al (2002)3471, femaleSanguineous discharge after defecationPositive for pancytokeratin and EMA5-Fluorouracil and folinic acid36 months
Shin et al (2011)3580, maleBack pain and jaundice, MAHAPositive for CK-20None3 weeks
Lara et al (2016)3634, femaleSevere and progressive fatigue, MAHAPositive for ER and PR receptorsNoneUnknown
Handa et al (2018)3763, femaleIncidental finding after thyroidectomy, biopsy of regional lymph node showed SRCCPositive for PAS, CK AE1/AE3Palliative radiotherapy, cisplatin and S-142 months
Danzinger et al
(2019)38
37, femaleDyspnoea, jaundice and epigastric pain; pregnant at 21 weeks and 5 days age of gestationPositive for CK-7; negative for CK-20, CDX2, ER, PR, PAX8 and HER2Pembrolizumab14 days
  • CDX2, caudal-type homeobox transcription factor 2; CK-7, cytokeratin-7; CK-20, cytokeratin-20; CK AE1/AE3, cytokeratin AE1/AE3; ECF, epirubicin, cisplatin, 5-fluorouracil; EMA, epithelial membrane antigen20–24; ER, estrogen receptor; HER2, human epidermal growth factor receptor 2; MAHA, microangiopathic haemolytic anaemia; PAS, periodic acid–Schiff; PAX8, paired-box gene 8; PR, progesterone receptor; SRCC, signet-ring cell carcinoma.