Publication:
Immunohistochemistry of cytokeratins 7, 8, 17, 18, and 19, and GLUT-1 aids differentiation of desmoplastic malignant mesothelioma from fibrous pleuritis

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Date
2013
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Authors
Horiuchi, Toshikatsu ; Ogata, Sho ; Tominaga, Susumu ; Hiroi, Sadayuki ; Kawahara, Kunimitsu ; Hebisawa, Akira ; Irei, Isao ; Ito, Ichiro ; Kameya, Toru ; Tsujimura, Tohru ; Nakano, Takashi ; Nakanish, Kuniaki ; Kawai, Toshiaki
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Publisher
F. Hernández y Juan F. Madrid. Universidad de Murcia. Departamento de Biología Celular e Histología
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DOI
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Description
Abstract
It is difficult to distinguish desmoplastic malignant mesothelioma (DMM) from fibrous pleuritis (FP). We investigated the utility of immunohistochemistry as a way of differentiating between DMM and FP. We examined 11 DMMs and 46 FPs with the aid of antibodies against 18 cytokeratin (CK) subtypes, calponin, caldesmon, desmin, and GLUT-1. The best sensitivity and specificity cut-off values in the receiver operating characteristic curves (ROC) for CKs 7, 8, 17, 18, and 19, and GLUT-1 were each above 60%. When cases with either DMM or FP were partitioned by the staining score associated with the best sensitivity and specificity cut-off values in ROC, the incidence of a positive expression for CKs 7, 8, 17, 18, and 19, and GLUT-1 was significantly higher in DMM than in FP. In conclusion, immunohistochemistry for CKs 7, 8, 17, 18, and 19, and GLUT-1 may be useful, alongside histological characteristics, for separating DMM from FP.
Citation
Histology and histopathology, Vol. 28, n.º 5 (2013)
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