Immunohistochemical Staining For Mesothelioma, Malignant Mesothelioma A Histomorphological And Immunohistochemical Study Of 24 Cases From A Tertiary Care Hospital In Southern India Hui M Uppin Sg Bhaskar K Kumar Nn Paramjyothi Gk Indian J Cancer

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The stains used for mesothelioma immunohistochemistry can help avoid this confusion.

Texas law help. Immunohistochemical staining for vimentin and keratin in malignant mesothelioma am j surg pathol. Immunohistochemical staining is important to distinguish mesothelioma from adenocarcinomas of lung origin or metastatic from other sites. I conclude that the combination of staining for vimentin and keratin might be a useful diagnostic finding in malignant mesothelioma but that specially fixed material is required for reliable vimentin staining.

Summary of results of immunohistochemical stains stain mesothelioma reactive sensitivity specificity p fisher exact test desmin negative 41 6 focal 20 84 positive 20 3 54 84 94 001 total number 52 64 ema negative 043 focal 20 or weak 015 positive 20 52 6 100 91 001. The best discriminators among the antibodies considered to be negative markers for mesothelioma are cea moc 31 ber ep4 bg 8 and b723. 4 5 a particular issue is the lack of reliable positive markers for mesothelial cells in formalinfixed paraffinembedded sections although several reports have claimed variable results.

Proteins such as cytokeratin 56 calretinin wt 1 and podoplanin help pathologists differentiate mesothelioma from other cancers such as lung cancer. Mesothelioma pathologists can use each stain in a process of elimination to rule out potential other diagnoses. The distinction between reactive mesothelial hyperplasia mh and malignant mesothelioma mm may be very difficult based only on histologic and morphologic findings.

Using immunohistochemical markers such as cytokeratin 56 pathologists can differentiate tumor cells. Pathologists use cytokeratin 56 to stain cancer tissue samples. 4 5 to.

The researchers from the two hospitals showed how each stain reveals positive markers for other types of cancer. Pleural mesothelioma is often misdiagnosed as lung cancer especially if tumors have spread beyond the point of origin to other parts of the body. Calretinin is commonly positive in mesothelioma with a reported sensitivity of 95 and specificity of 87thrombomodulin has the best specificity at 92 but is less sensitive at 68.

A panel of four markers two positive and two negative selected based upon availability and which ones yield good staining results in a given laboratory is recommended. Correct answer is a. 1 frank invasion is regarded as the most.

Since the last decade various immunohistochemical markers that can facilitate the diagnosis of epithelioid mesothelioma have become available.

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