3.Two Cases of Epithelioid Sarcoma with Immunohistochemical Study.
Duk Kyu CHUN ; Kwang Hyun CHO ; Seong Hoe PARK
Annals of Dermatology 1992;4(1):26-31
Two typical cases of epithelioid sarcoma were examined by immunohistochemical stain using antibodies to epithelial membrane antigen, carcinoembryonic antigen, vimentin and cytokeratin. Both cases showed positive reactivity for the four kinds of antibodies. These results point to the fact that epithelioid sarcoma simultaneously expresses epithelial markers and characteristic mesenchymal phenotypes. Epithelioid sarcoma appears to be a tumor derived from a multipotential mesenchymal cell with multidirectional differentiation.
Antibodies
;
Carcinoembryonic Antigen
;
Keratins
;
Mucin-1
;
Phenotype
;
Sarcoma*
;
Vimentin
4.Immunohistochemical Study on Acral Lentiginous Melanoma.
You Chan KIM ; Min Geol LEE ; Sang Ho CHO ; Sung Whan CHOE ; Hyang Joon PARK ; Yong Woo CINN
Korean Journal of Dermatology 2002;40(6):620-625
BACKGROUND: Although clinicopathologic characteristics of acral lentiginous melanoma (ALM) is well established, immunohistochemical study on ALM has rarely been reported. OBJECTIVE: Our purpose is to evaluate the usefulness of several immune markers in the diagnosis of ALM. METHODS: An immunohistochemical study was performed on paraffin sections of 20 ALMs using S-100 protein, HMB-45, vimentin, epithelial membrane antigen (EMA), and CAM 5.2. RESULTS: 1. Nineteen (95%) and 16 (80%) out of 20 ALM showed reactivity with S-100 protein and HMB-45, respectively. 2. Melanin bleaching was useful for diagnosing heavily pigmented ALM using both S-100 protein and HMB-45. 3. The immunoreactivity of S-100 protein and HMB-45 did not correlate with tumor thickness or level of invasion of ALM. The intensity of HMB-45 correlated well with the melanin content. 4. One and 2 out of 20 cases stained focally with EMA and CAM5.2 respectively, but these cases stained also with HMB-45 and/or S-100 protein. CONCLUSION: S-100 protein and HMB-45 were relatively sensitive markers for diagnosing ALM. Despite the occasional positivity for the epithelial markers in ALM, all epithelial marker-positive cases stained also with HMB-45 and/or S-100 protein. Therefore, S-100 protein and HMB-45 are very useful markers for diagnosing ALM.
Biomarkers
;
Diagnosis
;
Melanins
;
Melanoma*
;
Mucin-1
;
Paraffin
;
S100 Proteins
;
Vimentin
5.Microcystic Meningioma - Unusual Variant of Meningiomas.
Jun Hyung CHO ; Kook Hee YANG ; Ho Yeal ZHANG ; Jeong Hae KIE
Journal of Korean Neurosurgical Society 2003;34(4):382-385
Microcystic meningioma is a rare variant of meningiomas. This unusual variant was originally described by Masson, who labeled it "humid". The computed tomographic scan or magnetic resonance images of these tumors resemble those of a glial or metastatic tumor with cystic or necrotic changes. There is no definitive method for differentiating cystic meningiomas from these more common tumors. But immunohistochemically, they share a similar pattern of positive staining for epithelial membrane antigen and vimentin with other meningiomas. Our case was a 34-year-old woman with a tumor mass on the right frontal area. She was admitted to hospital because of generalized tonic seizure. Grossly all of the tumor could be removed, and histopathologically this tumor was revealed to be a microcystic meningioma.
Adult
;
Female
;
Humans
;
Meningioma*
;
Mucin-1
;
Seizures
;
Vimentin
6.Expression of MUC1 and MUC4 and Its Prognostic Significance in Non-Small Cell Lung Carcinoma.
Ji Min JEON ; Hye Won LEE ; Ji Young PARK ; Hye Ra JUNG ; Ilseon HWANG ; Sun Young KWON ; Mi Sun CHOE ; Yu Na KANG ; Sang Pyo KIM ; Sang Sook LEE ; Won Il CHOI ; Kun Young KWON
Korean Journal of Pathology 2010;44(4):397-403
BACKGROUND: Mucin (MUC)1 and MUC4 (MUC1, 4) are high molecular weight glycoproteins expressed in normal and malignant epithelial cells, and these expressions are related to the prognosis of some carcinomas. In non-small cell lung carcinoma (NSCLC), the relationship between MUC1, 4 expressions and their prognostic significance is not well known. We evaluated these relationships in a series of NSCLC: 1) between MUC1, 4 expression levels and histologic subtypes, and 2) between high expression of MUC1, 4 and their prognostic significance. METHODS: We performed immunohistochemical staining for MUC1, 4 in paraffin-embedded tissues from 165 NSCLC cases arranged in a tissue microarray. RESULTS: We found a significant correlation between MUC1, 4 expressions and NSCLC histologic subtypes (p < 0.05). High MUC1 expression was characteristic of adenocarcinoma. Low MUC1, 4 expressions were characteristic of squamous cell carcinoma. In adenocarcinoma, we found significant association between diffuse MUC1 expression and short patient survival (p = 0.005). In squamous cell carcinoma, diffuse MUC4 expression showed long patient survival trend (p = 0.128). CONCLUSIONS: MUC1, 4 expression levels were significantly correlated with NSCLC histologic subtypes. Diffuse MUC1 expression was significantly associated with shortened survival in NSCLC patients, especially in adenocarcinoma.
Adenocarcinoma
;
Carcinoma, Squamous Cell
;
Epithelial Cells
;
Glycoproteins
;
Humans
;
Lung
;
Molecular Weight
;
Mucin-1
;
Mucin-4
;
Mucins
;
Prognosis
7.A Case of Palisaded Encapsulated Neuroma of the Eyelid.
Eun Young CHUN ; Young Hun CHO ; You Chan KIM ; Dongsik BANG
Korean Journal of Dermatology 2004;42(12):1603-1605
Palisaded encapsulated neuroma (PEN) is a rare intraneural neuroma. It usually occurs as a solitary asymptomatic skin-colored papule, and commonly affects the butterfly area of the face of middle-aged adults. We report a case of PEN which developed on the right upper eyelid of a 30-year-old man. It was a 3 mm-sized skin colored papule, and histologically, there was a well- defined encapsulated nodule in the dermis, composed of spindle cells with basophilic and plump nuclei in a palisading pattern. On immunohistochemical staining, the tumor cells of the nodule were positive for S-100 protein, while the capsule of the nodule was positive for epithelial membrane antigen.
Adult
;
Basophils
;
Butterflies
;
Dermis
;
Eyelids*
;
Humans
;
Mucin-1
;
Neuroma*
;
S100 Proteins
;
Skin
8.Osteofibrous Dysplasia-Like Adamantinoma: A Case Report with its Immunohistochemical and Ultrastructural Studies.
Na Rae KIM ; Geunghwan AHN ; Geun Woo KIM ; Hyun Yee CHO ; Young Ha OH ; Dong Hae CHUNG
Korean Journal of Pathology 2004;38(1):50-55
Osteofibrous dysplasia (OFD)-like adamantinoma is a rare skeletal tumor that is characterized by the predominant OFD-like pattern with scattered epithelial nests. Adamantinoma shares clinical features (the majority of lesions in the tibia and the prevalent age group), radiologic findings (radiolucency with sclerotic shadow), and pathologic similarities (particularly the presence of scattered cytokeratin-positive stromal cells) with OFD. We describe a case of OFD-like adamantinoma. Epithelial cell nests express the epithelial membrane antigen, pancytokeratin, CK14, and collagen type IV. Ultrastructurally, the oval to spindle cells in the epithelial foci had abundant tonofilaments, and well-formed desmosomes with dense plaques, of which well preserved desmosomes are demonstrated for the first time in OFD-like adamantinoma. These immunohistochemical and ultrastructural findings further support that the origin of epithelial cells of classic and OFD-like adamantinoma are epithelial cells transformed from fibroblastic cells in the proliferating osteofibrous tissue.
Adamantinoma*
;
Collagen Type IV
;
Desmosomes
;
Epithelial Cells
;
Fibroblasts
;
Fibroma, Ossifying
;
Immunohistochemistry
;
Intermediate Filaments
;
Mucin-1
;
Tibia
9.Solitary Fibrous Tumor That Developed in the Thigh.
Ji Young SEO ; Eun Sin LEE ; Hyucksang LEE ; Yeo Goo CHANG ; Woo Young LEE ; Hye kyung LEE ; Seong Wo HONG
Journal of the Korean Surgical Society 2010;79(6):508-512
A solitary fibrous tumor (STF) is a relatively unusual neoplasm first described as a distinctive tumor arising from pleura. Some reports have shown that STF also affect extrathoracic regions. A 70-year-old woman was referred to our hospital for surgical treatment of an incidentally discovered thigh mass. We performed complete removal of the tumor. It was a soft tissue tumor with muscle indentation but without invasion to the surrounding muscles. The resected specimen was 7.0x6.3x5.2 cm. Histologically, the tumor was composed of a haphazard proliferation of spindle cells and epitheloid cells with hypercellularity and high mitotic activity. Immunohistochemistry showed positive immunoreactivity for CD34, CD99, bcl-2 protein, CD117, vimentin, smooth muscle actin and epithelial membrane antigen. We report, herein, on a rare case of malignant SFT in the thigh region along with a review of the literature.
Actins
;
Aged
;
Female
;
Humans
;
Immunohistochemistry
;
Mucin-1
;
Muscle, Smooth
;
Muscles
;
Pleura
;
Solitary Fibrous Tumors
;
Thigh
;
Vimentin
10.Nodular Hidradenocarcinoma.
Bo Young CHUNG ; Soo Ick CHO ; In Su AHN ; Hee Bong LEE ; Hye One KIM ; Kwang Ho KIM ; Chun Wook PARK ; Cheol Heon LEE
Korean Journal of Dermatology 2011;49(3):250-254
Nodular hidradenocarcinoma was first reported as a clear-cell papillary carcinoma by Liu et al. in 1949. With a potential for uncontrollable local recurrence, it tends to metastasize and often causes death. We report a case of a 68-year-old man with nodular hidradenocarcinoma on the left preauricular area. Histopathology of the tumor showed a multilobulated intradermal mass. In the tumor nodule, there were many cystic spaces of various sizes, resulting from tumor necrosis. The tumor consisted of large, atypical, polygonal cells with eosinophilic cytoplasm, and clear cells with clear cytoplasm. Numerous mitoses were evident. We obtained positive results from an immunohistochemical study with antibodies to cytokeratins, epithelial membrane antigen, and PAS. The patient was treated with a wide local excision. However, we observed a recurrence one month later and performed a wide excision and local skin flap. There has been no evidence of recurrence or metastasis for six months after the second excision.
Aged
;
Antibodies
;
Carcinoma, Papillary
;
Cytoplasm
;
Eosinophils
;
Humans
;
Keratins
;
Mitosis
;
Mucin-1
;
Necrosis
;
Neoplasm Metastasis
;
Recurrence
;
Skin