Immunohistochemical analysis still has a limited role in the diagnosis of malignant mesothelioma: A study of thirteen antibodies

To identify the most accurate and useful panel to diagnose mesothelioma, we immunostained sections from 112 mesotheliomas, 18 adenocarcinomas, and 11 reactive pleural specimens with 13 antibodies. Positive results for mesotheliomas, adenocarcinomas, and reactive pleura, respectively, were CAM5.2, 11...

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Veröffentlicht in:American journal of clinical pathology 2001-08, Vol.116 (2), p.253-262
Hauptverfasser: ROBERTS, Fiona, HARPER, Christina M, DOWNIE, Ian, BURNETT, Rodney A
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BURNETT, Rodney A
description To identify the most accurate and useful panel to diagnose mesothelioma, we immunostained sections from 112 mesotheliomas, 18 adenocarcinomas, and 11 reactive pleural specimens with 13 antibodies. Positive results for mesotheliomas, adenocarcinomas, and reactive pleura, respectively, were CAM5.2, 111, 18, and 11; vimentin, 30, 3, and 3; HBME-1, 75, 10, and 8; thrombomodulin, 31, 2, and 2; calretinin, 43, 6, and 11; and CD44H, 68, 10, and 4. Positive results for adenocarcinoma markers in mesotheliomas and adenocarcinomas, respectively, were carcinoembryonic antigen, 1 and 15; LeuM1, 7 and 9; and Ber-EP4, 5 and 12. All reactive pleura were negative. Positive results for markers to help distinguish mesothelioma from reactive pleura in mesotheliomas, adenocarcinomas, and reactive pleura, respectively, were epithelial membrane antigen, 76, 17, and 6; p53, 78, 16, and 9; P-170 glycoprotein, 37, 4, and 2; and platelet-derived growth factor receptor beta, 31, 1, and 2. The differential diagnosis of mesothelioma from adenocarcinoma is based on negative markers. Individual mesothelial markers are of low sensitivity and specificity for mesothelioma. However, diagnostic accuracy is improved by the use of antibody panels. To date there are no antibodies that help distinguish mesothelioma from reactive pleura.
doi_str_mv 10.1309/XL6K-8E62-9FLD-V8Q8
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Technology</topic><topic>Mucin-1 - analysis</topic><topic>Neoplasm Metastasis</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Peritoneal Neoplasms - chemistry</topic><topic>Peritoneal Neoplasms - diagnosis</topic><topic>Pleural Neoplasms - chemistry</topic><topic>Pleural Neoplasms - diagnosis</topic><topic>Receptor, Platelet-Derived Growth Factor beta - analysis</topic><topic>S100 Calcium Binding Protein G - analysis</topic><topic>Thrombomodulin - analysis</topic><topic>Tumor Suppressor Protein p53 - analysis</topic><topic>Vimentin - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ROBERTS, Fiona</creatorcontrib><creatorcontrib>HARPER, Christina M</creatorcontrib><creatorcontrib>DOWNIE, Ian</creatorcontrib><creatorcontrib>BURNETT, Rodney A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of clinical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ROBERTS, Fiona</au><au>HARPER, Christina M</au><au>DOWNIE, Ian</au><au>BURNETT, Rodney A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immunohistochemical analysis still has a limited role in the diagnosis of malignant mesothelioma: A study of thirteen antibodies</atitle><jtitle>American journal of clinical pathology</jtitle><addtitle>Am J Clin Pathol</addtitle><date>2001-08-01</date><risdate>2001</risdate><volume>116</volume><issue>2</issue><spage>253</spage><epage>262</epage><pages>253-262</pages><issn>0002-9173</issn><eissn>1943-7722</eissn><coden>AJCPAI</coden><abstract>To identify the most accurate and useful panel to diagnose mesothelioma, we immunostained sections from 112 mesotheliomas, 18 adenocarcinomas, and 11 reactive pleural specimens with 13 antibodies. Positive results for mesotheliomas, adenocarcinomas, and reactive pleura, respectively, were CAM5.2, 111, 18, and 11; vimentin, 30, 3, and 3; HBME-1, 75, 10, and 8; thrombomodulin, 31, 2, and 2; calretinin, 43, 6, and 11; and CD44H, 68, 10, and 4. Positive results for adenocarcinoma markers in mesotheliomas and adenocarcinomas, respectively, were carcinoembryonic antigen, 1 and 15; LeuM1, 7 and 9; and Ber-EP4, 5 and 12. All reactive pleura were negative. Positive results for markers to help distinguish mesothelioma from reactive pleura in mesotheliomas, adenocarcinomas, and reactive pleura, respectively, were epithelial membrane antigen, 76, 17, and 6; p53, 78, 16, and 9; P-170 glycoprotein, 37, 4, and 2; and platelet-derived growth factor receptor beta, 31, 1, and 2. The differential diagnosis of mesothelioma from adenocarcinoma is based on negative markers. Individual mesothelial markers are of low sensitivity and specificity for mesothelioma. However, diagnostic accuracy is improved by the use of antibody panels. To date there are no antibodies that help distinguish mesothelioma from reactive pleura.</abstract><cop>Chicago, IL</cop><pub>American Society of Clinical Pathologists</pub><pmid>11488073</pmid><doi>10.1309/XL6K-8E62-9FLD-V8Q8</doi><tpages>10</tpages></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adenocarcinoma - chemistry
Adenocarcinoma - diagnosis
Antigens, Surface - analysis
Biological and medical sciences
Biomarkers
Biomarkers, Tumor - analysis
Calbindin 2
Carcinoembryonic Antigen - analysis
Diagnosis, Differential
Glycoproteins - analysis
Humans
Hyaluronan Receptors - analysis
Immunohistochemistry
Investigative techniques, diagnostic techniques (general aspects)
Keratins - analysis
Lewis X Antigen - analysis
Medical sciences
Mesothelioma - chemistry
Mesothelioma - diagnosis
Miscellaneous. Technology
Mucin-1 - analysis
Neoplasm Metastasis
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Peritoneal Neoplasms - chemistry
Peritoneal Neoplasms - diagnosis
Pleural Neoplasms - chemistry
Pleural Neoplasms - diagnosis
Receptor, Platelet-Derived Growth Factor beta - analysis
S100 Calcium Binding Protein G - analysis
Thrombomodulin - analysis
Tumor Suppressor Protein p53 - analysis
Vimentin - analysis
title Immunohistochemical analysis still has a limited role in the diagnosis of malignant mesothelioma: A study of thirteen antibodies
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