Ber‐EP4‐Positive Phenotype Differentiates Actinic Keratosis from Superficial Basal Cell Carcinoma

Background. Well‐defined histopathologic criteria exist to distinguish actinic keratosis (AK) from superficial basal cell carcinoma (BCC). A similar morphology of downwardly budding dysplastic keratinocytes may occur in both entities, creating potential for errors in diagnosis. A marker that could r...

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Veröffentlicht in:Dermatologic surgery 2000-05, Vol.26 (5), p.415-418
Hauptverfasser: Tope, Whitney D., Nowfar‐Rad, Mehran, Kist, David A.
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creator Tope, Whitney D.
Nowfar‐Rad, Mehran
Kist, David A.
description Background. Well‐defined histopathologic criteria exist to distinguish actinic keratosis (AK) from superficial basal cell carcinoma (BCC). A similar morphology of downwardly budding dysplastic keratinocytes may occur in both entities, creating potential for errors in diagnosis. A marker that could reliably distinguish these two lesions would overcome this difficulty in diagnosis. Objective. To investigate whether Ber‐EP4 staining is useful in distinguishing AK from superficial BCC, and to determine whether AK exhibits a cellular phenotype that is more consistent with BCC or squamous cell carcinoma (SCC). Methods. We subjected tissue sections from superficial BCC, AK, and squamous intraepithelial neoplasia (SIN) demonstrating epidermal budding to immunohistochemical staining with monoclonal antibody Ber‐EP4. Results. Abnormal keratinocytes in all specimens of superficial BCC (5 of 5) were Ber‐EP4 positive; all AK (10 of 10) and SIN (8 of 8) were Ber‐EP4 negative. Conclusion. Ber‐EP4 staining reliably distinguishes AK from superficial BCC. The lack of Ber‐EP4 staining of AK supports the currently accepted pathogenetic dogma that SIN and SCC arise from AK, but BCC does not.
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Well‐defined histopathologic criteria exist to distinguish actinic keratosis (AK) from superficial basal cell carcinoma (BCC). A similar morphology of downwardly budding dysplastic keratinocytes may occur in both entities, creating potential for errors in diagnosis. A marker that could reliably distinguish these two lesions would overcome this difficulty in diagnosis. Objective. To investigate whether Ber‐EP4 staining is useful in distinguishing AK from superficial BCC, and to determine whether AK exhibits a cellular phenotype that is more consistent with BCC or squamous cell carcinoma (SCC). Methods. We subjected tissue sections from superficial BCC, AK, and squamous intraepithelial neoplasia (SIN) demonstrating epidermal budding to immunohistochemical staining with monoclonal antibody Ber‐EP4. Results. Abnormal keratinocytes in all specimens of superficial BCC (5 of 5) were Ber‐EP4 positive; all AK (10 of 10) and SIN (8 of 8) were Ber‐EP4 negative. Conclusion. Ber‐EP4 staining reliably distinguishes AK from superficial BCC. The lack of Ber‐EP4 staining of AK supports the currently accepted pathogenetic dogma that SIN and SCC arise from AK, but BCC does not.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1046/j.1524-4725.2000.99287.x</identifier><identifier>PMID: 10816226</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science Inc</publisher><subject>Antibodies, Monoclonal ; Antigens, Surface - analysis ; Biological and medical sciences ; Biomarkers, Tumor - analysis ; Carcinoma, Basal Cell - diagnosis ; Carcinoma, Squamous Cell - diagnosis ; Dermatology ; Diagnosis, Differential ; Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue ; Humans ; Immunohistochemistry - methods ; Medical sciences ; Phenotype ; Precancerous Conditions - diagnosis ; Predictive Value of Tests ; Skin Neoplasms - diagnosis ; Tumors of the skin and soft tissue. 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Well‐defined histopathologic criteria exist to distinguish actinic keratosis (AK) from superficial basal cell carcinoma (BCC). A similar morphology of downwardly budding dysplastic keratinocytes may occur in both entities, creating potential for errors in diagnosis. A marker that could reliably distinguish these two lesions would overcome this difficulty in diagnosis. Objective. To investigate whether Ber‐EP4 staining is useful in distinguishing AK from superficial BCC, and to determine whether AK exhibits a cellular phenotype that is more consistent with BCC or squamous cell carcinoma (SCC). Methods. We subjected tissue sections from superficial BCC, AK, and squamous intraepithelial neoplasia (SIN) demonstrating epidermal budding to immunohistochemical staining with monoclonal antibody Ber‐EP4. Results. Abnormal keratinocytes in all specimens of superficial BCC (5 of 5) were Ber‐EP4 positive; all AK (10 of 10) and SIN (8 of 8) were Ber‐EP4 negative. Conclusion. Ber‐EP4 staining reliably distinguishes AK from superficial BCC. The lack of Ber‐EP4 staining of AK supports the currently accepted pathogenetic dogma that SIN and SCC arise from AK, but BCC does not.</description><subject>Antibodies, Monoclonal</subject><subject>Antigens, Surface - analysis</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - analysis</subject><subject>Carcinoma, Basal Cell - diagnosis</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue</subject><subject>Humans</subject><subject>Immunohistochemistry - methods</subject><subject>Medical sciences</subject><subject>Phenotype</subject><subject>Precancerous Conditions - diagnosis</subject><subject>Predictive Value of Tests</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMlOwzAQhi0EYn8FlAPiljBesviCBC2bQKIScLYcdyJcZSl2CvTGI_CMPAkurYAjl98j-RvP-CMkopBQENnxJKEpE7HIWZowAEikZEWevK2R7Z-L9VBDnsWQUrZFdryfAFAmOWySLQoFzRjLtgmeoft8_zgfiZCjztvevmA0esK26-dTjIa2qtBh21vdo49OTW9ba6IbdLoPtI8q1zXR_WyKrrLG6jo60z7kAOsQ2hnbdo3eIxuVrj3ur85d8nhx_jC4im_vLq8Hp7ex4TLN4zJNBZOCltIIYEaGv0I5lhqkKQvUWCKIsTbMjCVCXhSMac65KKjgVcap4bvkaPnu1HXPM_S9aqw3YRXdYjfzKqeU0wzSABZL0LjOe4eVmjrbaDdXFNRCsZqohUm1MKkWitW3YvUWWg9WM2Zlg-M_jUunAThcAdobXVdOt8b6X45LKSQP2MkSe7U1zv89Xw3vH79L_gUHK5kk</recordid><startdate>200005</startdate><enddate>200005</enddate><creator>Tope, Whitney D.</creator><creator>Nowfar‐Rad, Mehran</creator><creator>Kist, David A.</creator><general>Blackwell Science Inc</general><general>Blackwell</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>200005</creationdate><title>Ber‐EP4‐Positive Phenotype Differentiates Actinic Keratosis from Superficial Basal Cell Carcinoma</title><author>Tope, Whitney D. ; Nowfar‐Rad, Mehran ; Kist, David A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3957-b5542941b9c402c91040bd9a09cb8eaebe04dac2cd9e078822a33348143f631c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Antibodies, Monoclonal</topic><topic>Antigens, Surface - analysis</topic><topic>Biological and medical sciences</topic><topic>Biomarkers, Tumor - analysis</topic><topic>Carcinoma, Basal Cell - diagnosis</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Dermatology</topic><topic>Diagnosis, Differential</topic><topic>Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue</topic><topic>Humans</topic><topic>Immunohistochemistry - methods</topic><topic>Medical sciences</topic><topic>Phenotype</topic><topic>Precancerous Conditions - diagnosis</topic><topic>Predictive Value of Tests</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tope, Whitney D.</creatorcontrib><creatorcontrib>Nowfar‐Rad, Mehran</creatorcontrib><creatorcontrib>Kist, David 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>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tope, Whitney D.</au><au>Nowfar‐Rad, Mehran</au><au>Kist, David A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ber‐EP4‐Positive Phenotype Differentiates Actinic Keratosis from Superficial Basal Cell Carcinoma</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2000-05</date><risdate>2000</risdate><volume>26</volume><issue>5</issue><spage>415</spage><epage>418</epage><pages>415-418</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>Background. Well‐defined histopathologic criteria exist to distinguish actinic keratosis (AK) from superficial basal cell carcinoma (BCC). A similar morphology of downwardly budding dysplastic keratinocytes may occur in both entities, creating potential for errors in diagnosis. A marker that could reliably distinguish these two lesions would overcome this difficulty in diagnosis. Objective. To investigate whether Ber‐EP4 staining is useful in distinguishing AK from superficial BCC, and to determine whether AK exhibits a cellular phenotype that is more consistent with BCC or squamous cell carcinoma (SCC). Methods. We subjected tissue sections from superficial BCC, AK, and squamous intraepithelial neoplasia (SIN) demonstrating epidermal budding to immunohistochemical staining with monoclonal antibody Ber‐EP4. Results. Abnormal keratinocytes in all specimens of superficial BCC (5 of 5) were Ber‐EP4 positive; all AK (10 of 10) and SIN (8 of 8) were Ber‐EP4 negative. Conclusion. Ber‐EP4 staining reliably distinguishes AK from superficial BCC. The lack of Ber‐EP4 staining of AK supports the currently accepted pathogenetic dogma that SIN and SCC arise from AK, but BCC does not.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science Inc</pub><pmid>10816226</pmid><doi>10.1046/j.1524-4725.2000.99287.x</doi><tpages>4</tpages></addata></record>
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subjects Antibodies, Monoclonal
Antigens, Surface - analysis
Biological and medical sciences
Biomarkers, Tumor - analysis
Carcinoma, Basal Cell - diagnosis
Carcinoma, Squamous Cell - diagnosis
Dermatology
Diagnosis, Differential
Hereditary diseases of the skin. Congenital diseases of the skin. Haemangioma of the skin, of mucosae and of soft tissue
Humans
Immunohistochemistry - methods
Medical sciences
Phenotype
Precancerous Conditions - diagnosis
Predictive Value of Tests
Skin Neoplasms - diagnosis
Tumors of the skin and soft tissue. Premalignant lesions
title Ber‐EP4‐Positive Phenotype Differentiates Actinic Keratosis from Superficial Basal Cell Carcinoma
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