Histopathological and Immunohistochemical Approach for Characterization of Malignant Round Cell Tumors
- Articles
- Submited: November 5, 2018
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Published: November 5, 2018
Abstract
Background and Objectives: To analyze the role of immunohistochemistry in characterization of malignant round cell tumors
Patients and Methods: Immunohistochemical staining (IHC) with (monoclonal or polyclonal) antibodies was performed on 127 cancer cases reported as malignant round cell tumors over a 12 month period from July 2008 through August 2009. Setting: Department of histopathology, Duhok Central Labs
Results: Malignant round cell tumors were more frequently located in the respiratory tract 30 (23.6%) followed by gastrointestinal tract 25 (19.7%), lymph node 19 (14.9%), and bone/soft tissue 19 (14.9%). Among these, 75 (82.7%) cases were primary and 22 (17.3%) metastatic. Application of immunohistochemistry resulted in characterization of 112 (88.2%) cases. Non-Hodgkin lymphoma 21 (16.5%) was at the top of the diagnosed list followed by adenocarcinoma 20 (15.7%), sarcoma 17 (13.4%), and small undifferentiated carcinoma 15 (11.8%).
Conclusions: Immunohistochemistry is a very helpful tool for characterization of malignant round cell tumors.
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References
- Gatter KC, Alcock C, Heryet A, Pulford KA, Heyderman E, Taylor – Papadimitriou J, Stein H, and Mason DY. The differential diagnosis of routinely processed anaplastic tumors using monoclonal antibodies. Am J Clin Path. 1984;82:33-43.
- Delellis RA and Dayal Y. The role of immunohistochemistry in the diagnosis of poorly differentiated malignant neoplasms. Semin Oncol 1987;14:173-192.
- Sebire NJ, Gibson S, Rampling D, Williams S, Malone M, and Ramsay AD: Immunohistochemical findings in embryonal small round cell tumors with molecular diagnostic confirmation. Appl immunohistochem Mol Morphol. 2005;13:1-6.
- Halliday BE, Slagel DD, Elsheikh TE, and Silverman JF. Diagnostic utility of MIC-2 immunocytochemical staining in the differential diagnosis of small blue cell tumors. Diagn Cytopathol. 1998;19:410-6.
- Katz RL, Quezado M, and Senderowicz AM. An intraabdominal round cell neoplasm with features of primitive neuroectodermal and desmoplastic round cell tumor and a EWS/FLI-1 fusion transcript. Hum Pathol. 1997;28:502-9.
- Ambros IM, Ambros PF, Strehl S, Kovar H, Gadner H, and Salzer-Kuntschik M. MIC2 is a specific marker for Ewing’s Sarcoma and peripheral primitive neuroectodermal tumors. Cancer. 1991;67:1886-1893.
- Lakhtakia CR and Nema BSK. Immunophenotyping of tumours. MJAFI 2008;64:16-20.
- Ahmad Z, Azad NS, and Bhurgari Y. Significance of immunohistochemistry in accurate characterization of malignant tumors. www.toodoc.com/Immunohistochemistry-ebook.html.
- Chan JK. Advances in immunohistochemistry: impact on surgical pathology practice. Semin. Diagn. Pathol. 2000;17:170-177.
- Slapak CA and Kufe DW. Principles of cancer therapy. In Isselbacher KJ, Braunvald E, Wilson JD, Martin JB, Fauci AS, Kasper DL eds: Harrison’s Principles of Internal Medicine, 13th Ed. Vol 2, 1994; McGraw-Hill, Inc. 1826-1840.
- Raab SS. Cost effectiveness analysis in pathology. Clin. Lab. Med. 1999;19:757-71.
- Special techniques in Surgical Pathology. In Rosai J, 9th Ed: Vol 2, Rosai and Ackerman’s Surgical Pathology. New York, Mosby. 2004. 45-63.
- Taylor CR. The total test approach to standardization of immunohistochemistry. Arch. Pathol. Lab. Med. 2000;124:945-51.
- Larsson L. Tissue preparation methods for light microscopic immunohistochemistry. Appl. Immunohistochem. 1993;1:2-16.
- Hsu SM, Raine L, and Fanger H. Use of avidin-biotin-peroxidase complex (ABC) in immunoperoxidase techniques: a comparison between ABC and unlabeled antibody (PAP) procedures. J. Histochem. Cytochem. 1981;29:577-80.
- Shi SR, Cote RJ, and Taylor CR. Antigen retrieval techniques: current perspectives. J. Histochem. Cytochem. 2001;49:931-7.
- Chan JKC, Banks PM, Cleary ML, Delsol G, De Wolf-Peeters C, Falini B, and Gatter KC. A Revised European–American Classification of lymphoid neoplasms proposed by the International Lymphoma Study Group. A summary version. Am J Clin Pathol 1995;103:543-560.
- Jaffe ES, Harris NL, Stein H, and Vardiman JW. Tumors of hematopoitic and lymphoid tissues, pathology and genetics. World Health Organization classification of tumors, Lyon IARC Press, 2001.
- Bianchini WA, Altemani AM, and Paschoal JR. Undifferentiated head and neck tumors: the contribution of immunohistochemical technique to differential diagnosis. Sao Paulo Med J 2003; 121(6):244-247.
- Coindre JM, Tanguy F, Merlfo JP, De Mascarel I, De Mascarel A, and Trojani M. The value of immunohistological techniques in undifferentiated cancers. Tumori. 1986;72:539-44.
- Gatter KC, Alcock C, Heryet A, and Mason DY. Clinical importance of analyzing malignant tumours of uncertain origin with immunohistological techniques. Lancet. 1985;1:1302-5.
- Kleihues P, Davis RL, Ohgaki H, Burger PC, Westphal MM, and Cavanee WK. Diffuse astrocytoma. In Kleihues P, Cavanee W (eds): World Health Organization classification of tumors. Pathology and genetics – tumors of the nervous system. 2000; lyon, IARC Press, 22-26.
- Johnson DE, Herndier BG, Medeiros LJ, Warnke RA, and Rouse RV. The diagnostic utility of the keratin profiles of hepatocellular carcinoma and cholangiocarcinoma. Am J Surg Pathol. 1988;12:187-197.
- Papsidero LD, Croghan CA, Asirwattham J, Gaeta J, Abenoza P, Englander L, and Valenzuela L. Immunohistochemical demonstration of Prostate Specific Antigen in metastases with the use of monoclonal antibody. Am J Pathol. 1985;121:451- 454.
- Frierson HF, Mills S, Fechner R, etal. Sinonasal undifferentiated carcinoma: an aggressive neoplasm derived from schneiderian epithelium and distinct from olfactory neuroblastoma. AmJSurgPathol. 1986;10:771-779.
- Yaziji H and Gown AM. Immunohistochemical markers of melanocytic tumors. Int J Surg Pathol. 2003;11:11-15.
- Ordonez NG. Value of cytokeratin 5/6 immunostaining in distinguishing epithelial mesothelioma of the pleura from lung adenocarcinoma. Am J Surg Pathol. 1998;22:1215-1221.