Evaluation and comparison of staining patterns of factor XIIIa (AC‐1A1), adipophilin and GATA3 in sebaceous neoplasia

Background Reliable nuclear immunohistochemical stains for sebaceous neoplasms have not been readily available. Positive nuclear staining has been reported for GATA3 and factor XIIIa (AC‐1A1). We sought to determine the diagnostic utility of these nuclear stains by comparing their staining pattern t...

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Veröffentlicht in:Journal of cutaneous pathology 2018-01, Vol.45 (1), p.1-7
Hauptverfasser: Tjarks, Brian J., Pownell, Brandy R., Evans, Claire, Thompson, Paul A., Kerkvliet, Amy M., Koch, Michael R. D., Jassim, Ali D.
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container_end_page 7
container_issue 1
container_start_page 1
container_title Journal of cutaneous pathology
container_volume 45
creator Tjarks, Brian J.
Pownell, Brandy R.
Evans, Claire
Thompson, Paul A.
Kerkvliet, Amy M.
Koch, Michael R. D.
Jassim, Ali D.
description Background Reliable nuclear immunohistochemical stains for sebaceous neoplasms have not been readily available. Positive nuclear staining has been reported for GATA3 and factor XIIIa (AC‐1A1). We sought to determine the diagnostic utility of these nuclear stains by comparing their staining pattern to adipophilin, a consistently positive cytoplasmic stain. Methods Cases with the diagnosis of sebaceous hyperplasia, sebaceous adenoma, sebaceous epithelioma/sebaceoma, sebaceous carcinoma, and nonsebaceous neoplasms (basal cell carcinoma and squamous cell carcinoma) were examined. Intensity and extent of staining of the basal cells and mature sebocytes were evaluated for each stain. Results Factor XIIIa (AC‐1A1) was 87.3% sensitive and 95.1% specific for all sebaceous neoplasms sand showed high inter‐observer reliability. Adipophilin was 83.2% sensitive and 87.8% specific. GATA3 was the least sensitive (80.9%) and specific (75.6%) marker. When factor XIIIa was compared against composite staining of all three markers its staining was still uniquely significant (P = .0210). Conclusion Factor XIIIa (AC‐1A1) is a sensitive and specific nuclear marker for sebaceous differentiation. Its diagnostic utility exceeds that of adipophilin. Factor XIIIa should be included in the expanding group of immunohistochemical and special stains which can be utilized to aid in the diagnosis of sebaceous neoplasms.
doi_str_mv 10.1111/cup.13037
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D. ; Jassim, Ali D.</creator><creatorcontrib>Tjarks, Brian J. ; Pownell, Brandy R. ; Evans, Claire ; Thompson, Paul A. ; Kerkvliet, Amy M. ; Koch, Michael R. D. ; Jassim, Ali D.</creatorcontrib><description>Background Reliable nuclear immunohistochemical stains for sebaceous neoplasms have not been readily available. Positive nuclear staining has been reported for GATA3 and factor XIIIa (AC‐1A1). We sought to determine the diagnostic utility of these nuclear stains by comparing their staining pattern to adipophilin, a consistently positive cytoplasmic stain. Methods Cases with the diagnosis of sebaceous hyperplasia, sebaceous adenoma, sebaceous epithelioma/sebaceoma, sebaceous carcinoma, and nonsebaceous neoplasms (basal cell carcinoma and squamous cell carcinoma) were examined. Intensity and extent of staining of the basal cells and mature sebocytes were evaluated for each stain. Results Factor XIIIa (AC‐1A1) was 87.3% sensitive and 95.1% specific for all sebaceous neoplasms sand showed high inter‐observer reliability. Adipophilin was 83.2% sensitive and 87.8% specific. GATA3 was the least sensitive (80.9%) and specific (75.6%) marker. When factor XIIIa was compared against composite staining of all three markers its staining was still uniquely significant (P = .0210). Conclusion Factor XIIIa (AC‐1A1) is a sensitive and specific nuclear marker for sebaceous differentiation. Its diagnostic utility exceeds that of adipophilin. Factor XIIIa should be included in the expanding group of immunohistochemical and special stains which can be utilized to aid in the diagnosis of sebaceous neoplasms.</description><identifier>ISSN: 0303-6987</identifier><identifier>EISSN: 1600-0560</identifier><identifier>DOI: 10.1111/cup.13037</identifier><identifier>PMID: 28873247</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adenoma ; Basal cell carcinoma ; Basal cells ; Biomarkers, Tumor - analysis ; Diagnosis ; Factor XIIIa - analysis ; GATA-3 protein ; GATA3 Transcription Factor - analysis ; Humans ; Hyperplasia ; Immunohistochemistry ; nonmelanoma skin cancer ; Perilipin-2 - analysis ; sebaceous ; Sebaceous Gland Neoplasms - diagnosis ; Sensitivity and Specificity ; Squamous cell carcinoma ; Staining and Labeling ; Tumors</subject><ispartof>Journal of cutaneous pathology, 2018-01, Vol.45 (1), p.1-7</ispartof><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-7b62f4dd3bacf9004b2e1f92b1e27fee758c21ec79e0d1c226657e9c25e329b73</citedby><cites>FETCH-LOGICAL-c3537-7b62f4dd3bacf9004b2e1f92b1e27fee758c21ec79e0d1c226657e9c25e329b73</cites><orcidid>0000-0002-8538-8491</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcup.13037$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcup.13037$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28873247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tjarks, Brian J.</creatorcontrib><creatorcontrib>Pownell, Brandy R.</creatorcontrib><creatorcontrib>Evans, Claire</creatorcontrib><creatorcontrib>Thompson, Paul A.</creatorcontrib><creatorcontrib>Kerkvliet, Amy M.</creatorcontrib><creatorcontrib>Koch, Michael R. D.</creatorcontrib><creatorcontrib>Jassim, Ali D.</creatorcontrib><title>Evaluation and comparison of staining patterns of factor XIIIa (AC‐1A1), adipophilin and GATA3 in sebaceous neoplasia</title><title>Journal of cutaneous pathology</title><addtitle>J Cutan Pathol</addtitle><description>Background Reliable nuclear immunohistochemical stains for sebaceous neoplasms have not been readily available. Positive nuclear staining has been reported for GATA3 and factor XIIIa (AC‐1A1). We sought to determine the diagnostic utility of these nuclear stains by comparing their staining pattern to adipophilin, a consistently positive cytoplasmic stain. Methods Cases with the diagnosis of sebaceous hyperplasia, sebaceous adenoma, sebaceous epithelioma/sebaceoma, sebaceous carcinoma, and nonsebaceous neoplasms (basal cell carcinoma and squamous cell carcinoma) were examined. Intensity and extent of staining of the basal cells and mature sebocytes were evaluated for each stain. Results Factor XIIIa (AC‐1A1) was 87.3% sensitive and 95.1% specific for all sebaceous neoplasms sand showed high inter‐observer reliability. Adipophilin was 83.2% sensitive and 87.8% specific. GATA3 was the least sensitive (80.9%) and specific (75.6%) marker. When factor XIIIa was compared against composite staining of all three markers its staining was still uniquely significant (P = .0210). Conclusion Factor XIIIa (AC‐1A1) is a sensitive and specific nuclear marker for sebaceous differentiation. Its diagnostic utility exceeds that of adipophilin. Factor XIIIa should be included in the expanding group of immunohistochemical and special stains which can be utilized to aid in the diagnosis of sebaceous neoplasms.</description><subject>Adenoma</subject><subject>Basal cell carcinoma</subject><subject>Basal cells</subject><subject>Biomarkers, Tumor - analysis</subject><subject>Diagnosis</subject><subject>Factor XIIIa - analysis</subject><subject>GATA-3 protein</subject><subject>GATA3 Transcription Factor - analysis</subject><subject>Humans</subject><subject>Hyperplasia</subject><subject>Immunohistochemistry</subject><subject>nonmelanoma skin cancer</subject><subject>Perilipin-2 - analysis</subject><subject>sebaceous</subject><subject>Sebaceous Gland Neoplasms - diagnosis</subject><subject>Sensitivity and Specificity</subject><subject>Squamous cell carcinoma</subject><subject>Staining and Labeling</subject><subject>Tumors</subject><issn>0303-6987</issn><issn>1600-0560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1q3DAQx0VpyG7SHPoCRZBLAnVWH2t9HM2SpAuB9JCF3owsjxMtXsuV7ITc-gh9xjxJtHXaQ6BzGWb48WOYP0KfKbmgqRZ27C8oJ1x-QHMqCMlILshHNCdplwmt5AwdxbglhAol8kM0Y0pJzpZyjp4uH007msH5DpuuxtbvehNcTKNvcByM61x3j3szDBC6uF82xg4-4B_r9drgs2L18us3Lej5V2xq1_v-wbVucl0XdwXHaYhQGQt-jLgD37cmOvMJHTSmjXDy1o_R5urybvUtu7m9Xq-Km8zynMtMVoI1y7rmSdBoQpYVA9poVlFgsgGQubKMgpUaSE0tY0LkErRlOXCmK8mP0dnk7YP_OUIcyp2LFtrWdPuDSqq5YLnShCb09B269WPo0nWJkmqphFI6UecTZYOPMUBT9sHtTHguKSn3aZQpjfJPGon98mYcqx3U_8i_70_AYgKeXAvP_zeVq833SfkKcleTQw</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Tjarks, Brian J.</creator><creator>Pownell, Brandy R.</creator><creator>Evans, Claire</creator><creator>Thompson, Paul A.</creator><creator>Kerkvliet, Amy M.</creator><creator>Koch, Michael R. D.</creator><creator>Jassim, Ali D.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8538-8491</orcidid></search><sort><creationdate>201801</creationdate><title>Evaluation and comparison of staining patterns of factor XIIIa (AC‐1A1), adipophilin and GATA3 in sebaceous neoplasia</title><author>Tjarks, Brian J. ; Pownell, Brandy R. ; Evans, Claire ; Thompson, Paul A. ; Kerkvliet, Amy M. ; Koch, Michael R. D. ; Jassim, Ali D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-7b62f4dd3bacf9004b2e1f92b1e27fee758c21ec79e0d1c226657e9c25e329b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adenoma</topic><topic>Basal cell carcinoma</topic><topic>Basal cells</topic><topic>Biomarkers, Tumor - analysis</topic><topic>Diagnosis</topic><topic>Factor XIIIa - analysis</topic><topic>GATA-3 protein</topic><topic>GATA3 Transcription Factor - analysis</topic><topic>Humans</topic><topic>Hyperplasia</topic><topic>Immunohistochemistry</topic><topic>nonmelanoma skin cancer</topic><topic>Perilipin-2 - analysis</topic><topic>sebaceous</topic><topic>Sebaceous Gland Neoplasms - diagnosis</topic><topic>Sensitivity and Specificity</topic><topic>Squamous cell carcinoma</topic><topic>Staining and Labeling</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tjarks, Brian J.</creatorcontrib><creatorcontrib>Pownell, Brandy R.</creatorcontrib><creatorcontrib>Evans, Claire</creatorcontrib><creatorcontrib>Thompson, Paul A.</creatorcontrib><creatorcontrib>Kerkvliet, Amy M.</creatorcontrib><creatorcontrib>Koch, Michael R. D.</creatorcontrib><creatorcontrib>Jassim, Ali D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cutaneous pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tjarks, Brian J.</au><au>Pownell, Brandy R.</au><au>Evans, Claire</au><au>Thompson, Paul A.</au><au>Kerkvliet, Amy M.</au><au>Koch, Michael R. D.</au><au>Jassim, Ali D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation and comparison of staining patterns of factor XIIIa (AC‐1A1), adipophilin and GATA3 in sebaceous neoplasia</atitle><jtitle>Journal of cutaneous pathology</jtitle><addtitle>J Cutan Pathol</addtitle><date>2018-01</date><risdate>2018</risdate><volume>45</volume><issue>1</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>0303-6987</issn><eissn>1600-0560</eissn><abstract>Background Reliable nuclear immunohistochemical stains for sebaceous neoplasms have not been readily available. Positive nuclear staining has been reported for GATA3 and factor XIIIa (AC‐1A1). We sought to determine the diagnostic utility of these nuclear stains by comparing their staining pattern to adipophilin, a consistently positive cytoplasmic stain. Methods Cases with the diagnosis of sebaceous hyperplasia, sebaceous adenoma, sebaceous epithelioma/sebaceoma, sebaceous carcinoma, and nonsebaceous neoplasms (basal cell carcinoma and squamous cell carcinoma) were examined. Intensity and extent of staining of the basal cells and mature sebocytes were evaluated for each stain. Results Factor XIIIa (AC‐1A1) was 87.3% sensitive and 95.1% specific for all sebaceous neoplasms sand showed high inter‐observer reliability. Adipophilin was 83.2% sensitive and 87.8% specific. GATA3 was the least sensitive (80.9%) and specific (75.6%) marker. When factor XIIIa was compared against composite staining of all three markers its staining was still uniquely significant (P = .0210). Conclusion Factor XIIIa (AC‐1A1) is a sensitive and specific nuclear marker for sebaceous differentiation. Its diagnostic utility exceeds that of adipophilin. Factor XIIIa should be included in the expanding group of immunohistochemical and special stains which can be utilized to aid in the diagnosis of sebaceous neoplasms.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>28873247</pmid><doi>10.1111/cup.13037</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8538-8491</orcidid></addata></record>
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subjects Adenoma
Basal cell carcinoma
Basal cells
Biomarkers, Tumor - analysis
Diagnosis
Factor XIIIa - analysis
GATA-3 protein
GATA3 Transcription Factor - analysis
Humans
Hyperplasia
Immunohistochemistry
nonmelanoma skin cancer
Perilipin-2 - analysis
sebaceous
Sebaceous Gland Neoplasms - diagnosis
Sensitivity and Specificity
Squamous cell carcinoma
Staining and Labeling
Tumors
title Evaluation and comparison of staining patterns of factor XIIIa (AC‐1A1), adipophilin and GATA3 in sebaceous neoplasia
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