Immunohistochemistry fruit salad Flashcards
Papillary RCC
CK7 + (kidney usually CK7 and 20 -)
Racemase +
CAIX -
Chromophobe (vs oncocytoma)
Hales colloidal iron: Chromophobe = cytoplasmic staining, oncocytoma = negative or apical blush
Kidney MEST
Stroma ER/PR +, Desmin +, SMA +, CD10 +
Seminoma
PLAP + CD117 + OCT 3/4 + CK - or patchy SALL4 + HCG + in syncytiotrophpblast cells EMA -
Spermatocytic tumour
CK maybe + (perinuclear, dotlike)
PLAP - or focally +
AFP, HCG, CEA -
Embryonal carcinoma
PLAP + (patchy)
CD30 +
EMA -
Yolk sac tumour
PLAP + (variable)
AFP
Choriocarcinoma
HCG - esp in syncytiotrophoblast
EMA and CK +
CEA and PLAP maybe
Thyroid medullary carcinoma
TTF1 + Thyroglobulin - PAX 8 +/- Calcitonin + NE markers + Amyloid deposits - congo red +
Olfactory neuroblastoma
CK - (or focal)
EMA -
NE markers +
S100 + stromal/sustentacular cells
Acinic cell carcinoma of salivary gland
PAS + granules, diastase resistant
Salivary duct carcinoma
Androgen receptor +
GCDFP +
Her2 may be amplified
Osteosarcoma
SATB2 - osteoblast transcription factor -useful when histological features of matrix are equivocal
Skin perineurioma
EMA+
Claudin1 +
CD34 +/-
S100 -
Adrenal cortical tumours
Inhibin and Calretinin +