Figures 11 and
12: Metastatic colonic adenocarcinoma with a deceptive pattern of
invasion. This tumor is composed of variably sized cysts, without destructive
stromal invasion (11), lined by mucinous epithelium with marked nuclear
atypia (12). It simulates a borderline ovarian mucinous tumor with intraepithelial
carcinoma. This tumor was diffusely positive for cytokeratin 20 and
negative for cytokeratin 7, consistent with a colonic carcinoma (stains
not illustrated). Submitted
by Brigitte Ronnett, MD