Difference between revisions of "Immunohistochemical staining"

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{{familytree | | | | | | | | | | | A | | | | | | | | | | |A=Malignancy}}
{{familytree | | | | | | | | | | | A | | | | | | | | | | |A=Malignancy}}
{{familytree | |,|-|-|-|v|-|-|-|v|-|^|-|v|-|-|-|v|-|-|-|.| |}}
{{familytree | |,|-|-|-|v|-|-|-|v|-|^|-|v|-|-|-|v|-|-|-|.| |}}
{{familytree | B | | C | | D | | E | | F | |G |B=Epithelial<br>(Carcinoma)|C=Mesenchymal<br>(Sarcoma)|D=Germ cell<br>tumour|E=Neuroendocrine<br>carcinoma|F=Hematologic|G=Malignant<br>melanoma}}
{{familytree | B | | C | | D | | E | | F | |G |B=Epithelial<br>(Carcinoma)|C=Mesenchymal<br>(Sarcoma)|D=Germ cell<br>tumour|E=[[Neuroendocrine tumours|Neuroendocrine<br>carcinoma]]|F=Hematologic|G=[[Melanoma|Malignant<br>melanoma]]}}
{{familytree/end}}
{{familytree/end}}


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*D2-40 +ve in ChRCC.
*D2-40 +ve in ChRCC.


Xanthogranulomatous pyelonephritis:
[[Xanthogranulomatous pyelonephritis]]:
*CD68 (for macrophages).
*CD68 (for macrophages).


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*TTF-1.
*TTF-1.


===Pancreas===
===[[Pancreas]]===
*CK17 - approx. 50% of [[pancreas|pancreatico]]biliary adenocarcinomas & patchy.<ref name=pmid11345833>{{cite journal |author=Goldstein NS, Bassi D |title=Cytokeratins 7, 17, and 20 reactivity in pancreatic and ampulla of vater adenocarcinomas. Percentage of positivity and distribution is affected by the cut-point threshold |journal=Am. J. Clin. Pathol. |volume=115 |issue=5 |pages=695–702 |year=2001 |month=May |pmid=11345833 |doi=10.1309/1NCM-46QX-3B5T-7XHR |url=}}</ref>
*CK17 - approx. 50% of [[pancreas|pancreatico]]biliary adenocarcinomas & patchy.<ref name=pmid11345833>{{cite journal |author=Goldstein NS, Bassi D |title=Cytokeratins 7, 17, and 20 reactivity in pancreatic and ampulla of vater adenocarcinomas. Percentage of positivity and distribution is affected by the cut-point threshold |journal=Am. J. Clin. Pathol. |volume=115 |issue=5 |pages=695–702 |year=2001 |month=May |pmid=11345833 |doi=10.1309/1NCM-46QX-3B5T-7XHR |url=}}</ref>
*CK19.<ref name=pmid18318589>{{cite journal |author=Geller SA, Dhall D, Alsabeh R |title=Application of immunohistochemistry to liver and gastrointestinal neoplasms: liver, stomach, colon, and pancreas |journal=Arch. Pathol. Lab. Med. |volume=132 |issue=3 |pages=490–9 |year=2008 |month=March |pmid=18318589 |doi= |url=}}</ref>
*CK19.<ref name=pmid18318589>{{cite journal |author=Geller SA, Dhall D, Alsabeh R |title=Application of immunohistochemistry to liver and gastrointestinal neoplasms: liver, stomach, colon, and pancreas |journal=Arch. Pathol. Lab. Med. |volume=132 |issue=3 |pages=490–9 |year=2008 |month=March |pmid=18318589 |doi= |url=}}</ref>
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===Specific entities===
===Specific entities===
====Follicular lymphoma====
====[[Follicular lymphoma]]====
*CD10 +ve, BCL6 +ve.
*CD10 +ve, BCL6 +ve.


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*CD5 +ve, CD23 +ve.
*CD5 +ve, CD23 +ve.


====Mantle cell lymphoma====
====[[Mantle cell lymphoma]]====
*Cyclin D1 +ve.
*Cyclin D1 +ve.
**[[AKA]] Bcl-1.<ref>URL: [http://atlasgeneticsoncology.org/Genes/BCL1.html http://atlasgeneticsoncology.org/Genes/BCL1.html]. Accessed on: 17 December 2010.</ref>
**[[AKA]] Bcl-1.<ref>URL: [http://atlasgeneticsoncology.org/Genes/BCL1.html http://atlasgeneticsoncology.org/Genes/BCL1.html]. Accessed on: 17 December 2010.</ref>
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==Germ cell tumours==
==Germ cell tumours==
{{Main|Germ cell tumours}}
{{Main|Germ cell tumours}}
===Seminoma===
===[[Seminoma]]===
*D2-40 +ve.<ref name=pmid18045648/>
*D2-40 +ve.<ref name=pmid18045648/>
*OCT 3/4 +ve.
*OCT 3/4 +ve.


===Embryonal carcinoma===
===[[Embryonal carcinoma]]===
*CD30 +ve - cytoplasm, cell membrane, Golgi.
*CD30 +ve - cytoplasm, cell membrane, Golgi.
**Rarely positive in seminoma.
**Rarely positive in seminoma.
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*AE1/AE3 +ve.
*AE1/AE3 +ve.


===Yolk sac tumour (endodermal sinus tumour)===
===[[Yolk sac tumour]] (endodermal sinus tumour)===
*AFP (alpha fetoprotein).
*AFP (alpha fetoprotein).


===Choriocarcinoma===
===[[Choriocarcinoma]]===
*beta-hCG.
*beta-hCG.


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*D2-40 = seminoma.
*D2-40 = seminoma.


==Spindle cell lesions (usu. sarcoma)==
==Spindle cell lesions==
{{Main|Spindle cell lesions}}
{{Main|Spindle cell lesions}}
Abbreviated spindle cell panel (memory device ''SCADS''):
Abbreviated spindle cell panel (memory device ''SCADS''):
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*[[endometrium|Endometrial]].
*[[endometrium|Endometrial]].
*[[lung tumours|Lung]] (adenocarcinoma).
*[[lung tumours|Lung]] (adenocarcinoma).
*Mesothelium.
*[[Mesothelioma]].
*[[Salivary gland]].
*[[Salivary gland]].
*[[Thyroid gland]] (all).
*[[Thyroid gland]] (all).
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*[[Ovary]], mucinous subtype.
*[[Ovary]], mucinous subtype.
*Occasionally gastric adenocarcinoma, cholangiocarcinoma.
*Occasionally gastric adenocarcinoma, cholangiocarcinoma.
*Transitional cell carcinoma - urothelial cell carcinoma.
*"Transitional cell carcinoma" (urothelial cell carcinoma).§
*Esophagus (adenocarcinoma).
*Esophagus (adenocarcinoma).
Mnemonic: ''POOTE''.
Mnemonic: ''POOTE''.


Note:
Note:
*[[Transitional cell carcinoma of the ovary]] is usu. CK20 -ve.<ref name=pmid21073751>{{Cite journal  | last1 = Tazi | first1 = EM. | last2 = Lalya | first2 = I. | last3 = Tazi | first3 = MF. | last4 = Ahellal | first4 = Y. | last5 = M'rabti | first5 = H. | last6 = Errihani | first6 = H. | title = Transitional cell carcinoma of the ovary: a rare case and review of literature. | journal = World J Surg Oncol | volume = 8 | issue =  | pages = 98 | month =  | year = 2010 | doi = 10.1186/1477-7819-8-98 | PMID = 21073751 }}</ref>
*§ - [[Transitional cell carcinoma of the ovary]] is usu. CK20 -ve.<ref name=pmid21073751>{{Cite journal  | last1 = Tazi | first1 = EM. | last2 = Lalya | first2 = I. | last3 = Tazi | first3 = MF. | last4 = Ahellal | first4 = Y. | last5 = M'rabti | first5 = H. | last6 = Errihani | first6 = H. | title = Transitional cell carcinoma of the ovary: a rare case and review of literature. | journal = World J Surg Oncol | volume = 8 | issue =  | pages = 98 | month =  | year = 2010 | doi = 10.1186/1477-7819-8-98 | PMID = 21073751 }}</ref>


====CK7- CK20-====
====CK7- CK20-====
*Neuroendocrine lung (small cell carcinoma).
*Neuroendocrine lung (small cell carcinoma).
*Adrenocortical carcinoma (ACC).
*[[Adrenocortical carcinoma]] (ACC).
*Squamous cell carcinoma (all sites of the body).
*[[Squamous cell carcinoma]] (all sites of the body).
*Hepatocellular carcinoma (HCC).
*[[Hepatocellular carcinoma]] (HCC).
*[[Thymoma]].
*[[Thymoma]].
*Urogenital tumours - [[germ cell tumour]]s.
*Urogenital tumours - [[germ cell tumour]]s.
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