ANTIGEN TUMOR MARKERS Flashcards
marker of epithelial cells
keratin
marker of carcinomas of lung, breasts, uterus, ovarian cancers
CK7 (+)
colon and stomach cancers
CK20 (+)
transitional cell carcinomas of bladder and mucinous ovarian tumors
CK7 and CK20 (+)
renal cell carcinomas, liver carcinomas, prostatic adenocarcinomas, thyroid and squamous cell carcinomas
CK7 and CK20 neg
helpful in determining the site of tumor; (+) for breast adenocarcinomas, lungs, and kidneys
EMA (Epithelial Membrane Antigen)
an oncofetal antigen present carcinomas of GI tract, pancreas, lung, breast, ovary, uterus, cervix
CEA (Carcinoembryonic Antigen)
DIFFERENTIATES adenocarcinoma (+) from mesothelioma (-)
CEA (Carcinoembryonic Antigen)
DISTINGUISHES lung adenocarcinoma from mesothelioma
TTF-1 (Thyroid Transcription factor 1)
present in thyroid gland neoplasms
TTF-1 (Thyroid Transcription Factor 1)
(+) Prostate Adenocarcinoma, pancreatic, and salivary tumors
PSA (Prostatic Specific Antigen)
normally found in breast epithelial cells but not myoepithelial cells
ER/PR (Estrogen/Progesterone Receptor)
Prognosis and treatment of breast CA
ER/PR (Estrogen/Progesterone Receptor
identification of metastatic breast CA
ER/PR (Estrogen/Progesterone Receptor)
sensitive marker for muscle differentiation
actin
identify tumors derived from smooth, skeletal, and cardiac muscles
actin
normally present in mesenchymal cells and neoplastic cells such as sarcomas, lymphomas, leukemias, seminomas, neural tumors
vimentin
always stain positive in vimentin
melanomas and schwannomas
desmin is highly specific for
myogenic tumors
normally expressed by CNS glial cells especially as
GFAP (glial fibrillary acidic protein)
diagnosis of astrocytoma
GFAP (glial fibrillary acidic protein)
expressed by cells of neural origin; (+) in neuroblastomas, ganglioneuromonas, neuromas, chemodectomas
neurofilament
expressed by CNS glial cells, schwann cells, melanocytes, histiocytes, chrondrocytes, skeletal and cardiac muscles, myoepithelial cells, epithelial cells of the breast, salivary and sweat glands
S100 Protein (calcium binding protein)
(+) for tumors with neural or neuroendocrine differentiation
NSE(Neuron specific enolase)
found in neural secretory granules of endocrine tissues
chromogranin
(+) neuroendocrine differentiation
chromogranin
keratin (+), chromogranin (+)
neuroendocrine carcinomas
present in presynaptic vesicles of neurons, normal neurons, and neuroendocrine cells
synaptophysin
HCG is synthesized by placental ________
synctiotrophoblast
(+) germ cell tumors/choriocarcinoma
HCG (Human Chorionic Gonadotropin)
synthesized by normal liver; (+) hepatocellular CA
Alpha-fetoprotein (AFP)
produced by placental syncytiotrophoblasts in late pregnancy
Placental-like Alkaline Antigen (PLAP)
(+) germ cell tumors, embryonal CA, chorioCA, Endodermal sinus tumor, seminoma
Placental-like Alkaline Antigen (PLAP)
tumors of skeletal muscle origin
myogenic tumors
(+) Actin, Desmin, Myo D-1, Myoglobin, Myogenin
Myogenic tumors
(+) CD68, FAM 56, Alpha-1 Antitrypsin, Alpha-1 Antichymotrypsin; Malignant Fibrohistiosarcoma
Fibrohistiocytic tumors
(+) factor VII- related antigen, CD31, Ulex Europaeus (UEA); endothelial markers; angiosarcoma
vascular tumors
(+) S100 protein
melanocytes are derived from the neural crest
(+) HMB45
Melanosome
(+) LCA (Leukocyte Common Antigen) aka CD45
Lymphoma
best screening marker for lymphoma
Leukocyte Common Antigen (aka CD45)
(+) CD15, CD30, Ig light and heavy chains
Reed-Sternberg
used to assess proliferation of tumors
Ki-67 (MIB-1) and PCNA (Proliferating Cell Nuclear Antigen)
(+) malignant tumors but not specific for malignancy
p53