Selective expression of CD44 cell-adhesion molecule in thyroid papillary carcinoma fine-needle aspirates

Recent descriptions of numerous pitfalls in the cytologic diagnosis of thyroid papillary carcinoma on fine‐needle aspiration biopsy specimens have prompted studies of new ancillary diagnostic methods. We evaluated the potential use of immunocytochemical staining of thyroid fine‐needle aspiration bio...

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Veröffentlicht in:Diagnostic cytopathology 1996-06, Vol.14 (4), p.287-291
Hauptverfasser: Ross, Jeffrey S., del Rosario, Arthur D., Sanderson, Barbara, Bui, Hai X.
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container_title Diagnostic cytopathology
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creator Ross, Jeffrey S.
del Rosario, Arthur D.
Sanderson, Barbara
Bui, Hai X.
description Recent descriptions of numerous pitfalls in the cytologic diagnosis of thyroid papillary carcinoma on fine‐needle aspiration biopsy specimens have prompted studies of new ancillary diagnostic methods. We evaluated the potential use of immunocytochemical staining of thyroid fine‐needle aspiration biopsy specimens for CD44, a glycosylated cartilage link protein associated with extracellular matrix adhesion and lymphocyte homing. Fourteen of 16 (88%) classic, surgically confirmed, thyroid aspiration biopsies stained intensely positive for this marker, whereas 0 of 30 (0%) similarly‐processed benign aspirates from colloid nodules showed immunoreactivity for CD44 antigen. From this study, we conclude that most papillary carcinomas of the thyroid express the cell‐adhesion molecule CD44, which may be of clinical value in confirming the diagnosis on borderline fine‐needle aspiration specimens. Further study of CD44 expression may prove of significant interest in explaining the unusual mode of spread and clinical course of this disease. Diagn Cytopathol 1996;14:287–291. © 1996 Wiley‐Liss, Inc.
doi_str_mv 10.1002/(SICI)1097-0339(199605)14:4<287::AID-DC2>3.0.CO;2-D
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Cytopathol</addtitle><description>Recent descriptions of numerous pitfalls in the cytologic diagnosis of thyroid papillary carcinoma on fine‐needle aspiration biopsy specimens have prompted studies of new ancillary diagnostic methods. We evaluated the potential use of immunocytochemical staining of thyroid fine‐needle aspiration biopsy specimens for CD44, a glycosylated cartilage link protein associated with extracellular matrix adhesion and lymphocyte homing. Fourteen of 16 (88%) classic, surgically confirmed, thyroid aspiration biopsies stained intensely positive for this marker, whereas 0 of 30 (0%) similarly‐processed benign aspirates from colloid nodules showed immunoreactivity for CD44 antigen. From this study, we conclude that most papillary carcinomas of the thyroid express the cell‐adhesion molecule CD44, which may be of clinical value in confirming the diagnosis on borderline fine‐needle aspiration specimens. Further study of CD44 expression may prove of significant interest in explaining the unusual mode of spread and clinical course of this disease. Diagn Cytopathol 1996;14:287–291. © 1996 Wiley‐Liss, Inc.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Carcinoma, Papillary - immunology</subject><subject>Carcinoma, Papillary - pathology</subject><subject>CD44</subject><subject>Endocrinopathies</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>fine-needle aspiration biopsy</subject><subject>Humans</subject><subject>Hyaluronan Receptors - analysis</subject><subject>Immunohistochemistry</subject><subject>Male</subject><subject>Malignant tumors</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>papillary carcinoma</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>thyroid</subject><subject>Thyroid Neoplasms - immunology</subject><subject>Thyroid Neoplasms - pathology</subject><subject>Thyroid. 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From this study, we conclude that most papillary carcinomas of the thyroid express the cell‐adhesion molecule CD44, which may be of clinical value in confirming the diagnosis on borderline fine‐needle aspiration specimens. Further study of CD44 expression may prove of significant interest in explaining the unusual mode of spread and clinical course of this disease. Diagn Cytopathol 1996;14:287–291. © 1996 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>8725126</pmid><doi>10.1002/(SICI)1097-0339(199605)14:4&lt;287::AID-DC2&gt;3.0.CO;2-D</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Wiley Journals
subjects Adolescent
Adult
Aged
Biological and medical sciences
Biopsy, Needle
Carcinoma, Papillary - immunology
Carcinoma, Papillary - pathology
CD44
Endocrinopathies
Evaluation Studies as Topic
Female
fine-needle aspiration biopsy
Humans
Hyaluronan Receptors - analysis
Immunohistochemistry
Male
Malignant tumors
Medical sciences
Middle Aged
papillary carcinoma
Prognosis
Retrospective Studies
thyroid
Thyroid Neoplasms - immunology
Thyroid Neoplasms - pathology
Thyroid. Thyroid axis (diseases)
title Selective expression of CD44 cell-adhesion molecule in thyroid papillary carcinoma fine-needle aspirates
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