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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 Incidence Of Mesothelioma By Country
The Histologic And Immunohistochemical Features Of Malignant Download Scientific Diagram Incidence Of Mesothelioma By Country
Incidence of mesothelioma by country. Wt1 is one of the most useful markers for identifying mesothelioma. The best discriminators among the antibodies considered to be negative markers for mesothelioma are cea moc 31 ber ep4 bg 8 and b723. Calretinin is a calcium binding protein originally found in neurons.
There are some controversy as to whether there is nuclear as well as cytoplasmic staining in mesothelioma and which component is diagnostically reliable. Many mesotheliomaassociated markers such as calretinin wt1 ck56 thrombomodulin d240 and podoplanin are preferentially expressed by mesothelioma. Wt1 may also play a role in making mesothelioma cells resistant to chemotherapy according to a 2017 study in pathology oncology research.
It is also overexpressed in most types of malignant mesothelioma. Calretinin wt1 ck56 d2 40 and mesothelin are generally immunoreactive in peritoneal mesothelioma but can also be positive in gynecologic and nongynecologic adenocarcinoma. A systematic review of seventeen studies consisting of 885 epithelioid mesotheliomas and 912 pulmonary adenocarcinomas reported sensitivities and specificities of calretinin for epithelioid mesothelioma of 82 and 85 39.
The discriminating features include extensive berep4 positivity rarity of cd141 and lack of wt1 in ss. 13 18 but there have been no comprehensive studies on the differential. Calretinin ck56 wt1 and d240 are considered to be the best indicators for differentiating mesothelioma.
When researchers deactivated wt1 in laboratory mesothelioma cells their chemoresistance was suppressed. Pathologists use calretinin as a selective marker to diagnose mesothelioma and researchers are testing the protein as a target for cancer therapy. 3 15 in this case the tumor cells were epithelioid and positive for calretinin wt1 ck56 and d240 staining which confirmed the diagnosis of malignant mesothelioma.
These markers are very effective for diagnosing epithelioid mesothelioma and differentiating it from adenocarcinoma. After analyzing the results it is concluded that calretinin cytokeratin 56 and wt1 are the best positive markers for differentiating epithelioid malignant mesothelioma from pulmonary adenocarcinoma.
Henry Yang On Twitter Beautiful Case Of Well Differentiatiated Papillary Mesothelioma Of Ovary Calretinin Pax8 Wt1 Positive Berep4 Moc31 Negative Prominent Papillary Structures With Vascular Core And Single Layer Of Bland Cells Incidence Of Mesothelioma By Country
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