3.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
4.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
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.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
8.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
9.A Case of Eccrine Porocarcinoma: Usefulness of Immunostain for S-100 Protein in the Diagnoses of Recurrent and Metastatic Dedifferentiated Lesions.
Yoshitaka KURISU ; Motomu TSUJI ; Emi YASUDA ; Yuro SHIBAYAMA
Annals of Dermatology 2013;25(3):348-351
Eccrine porocarcinoma is a rare malignant tumor. Immunostain for S-100 protein, in addition to epithelial membrane antigen (EMA) and carcinoembryonic antigen (CEA), is described to be useful in the diagnosis. Herein, we report a case of eccrine porocarcinoma with immunostain for S-100 protein which was useful in diagnoses of recurrent and metastatic lesions. The primary lesion in the left inguinal region was excised, but it recurred on the same site 14 months after the resection. The recurrent lesion showed epithelioid melanocytic findings. Three months later, metastasis to the lungs was found. Since these recurrent and metastatic lesions were dedifferentiated, typical histologic findings of eccrine porocarcinoma disappeared in biopsied specimens. Nevertheless, scattered immunoreactive cells for S-100 protein were maintained in these dedifferentiated lesions. S-100 protein positive cells could be an aid to diagnose, even if histologic findings of recurrent and metastatic lesions have changed by dedifferentiation.
Carcinoembryonic Antigen
;
Eccrine Porocarcinoma
;
Immunohistochemistry
;
Lung
;
Mucin-1
;
Neoplasm Metastasis
;
S100 Proteins
10.A Case of Eccrine Porocarcinoma: Usefulness of Immunostain for S-100 Protein in the Diagnoses of Recurrent and Metastatic Dedifferentiated Lesions.
Yoshitaka KURISU ; Motomu TSUJI ; Emi YASUDA ; Yuro SHIBAYAMA
Annals of Dermatology 2013;25(3):348-351
Eccrine porocarcinoma is a rare malignant tumor. Immunostain for S-100 protein, in addition to epithelial membrane antigen (EMA) and carcinoembryonic antigen (CEA), is described to be useful in the diagnosis. Herein, we report a case of eccrine porocarcinoma with immunostain for S-100 protein which was useful in diagnoses of recurrent and metastatic lesions. The primary lesion in the left inguinal region was excised, but it recurred on the same site 14 months after the resection. The recurrent lesion showed epithelioid melanocytic findings. Three months later, metastasis to the lungs was found. Since these recurrent and metastatic lesions were dedifferentiated, typical histologic findings of eccrine porocarcinoma disappeared in biopsied specimens. Nevertheless, scattered immunoreactive cells for S-100 protein were maintained in these dedifferentiated lesions. S-100 protein positive cells could be an aid to diagnose, even if histologic findings of recurrent and metastatic lesions have changed by dedifferentiation.
Carcinoembryonic Antigen
;
Eccrine Porocarcinoma
;
Immunohistochemistry
;
Lung
;
Mucin-1
;
Neoplasm Metastasis
;
S100 Proteins