Important Immunohistochemical Stains Flashcards

1
Q

What is the primary purpose of immunohistochemical stains?

A

To determine the primary site of origin for metastatic tumors and characterize tumors that are difficult to classify

These stains can also have prognostic and predictive value.

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2
Q

Which tumors are identified by Chromogranin and synaptophysin stains?

A

Small cell carcinoma of the lung, carcinoid tumor, neuroblastoma

These stains target neuroendocrine cells.

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3
Q

What type of cells do Cytokeratin stains target?

A

Epithelial cells

Epithelial tumors include squamous cell carcinoma.

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4
Q

Desmin stains are used to identify which type of tumors?

A

Muscle tumors, e.g., rhabdomyosarcoma

Desmin targets muscle cells.

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5
Q

What does GFAP stain target?

A

Neuroglia, e.g., astrocytes, Schwann cells, oligodendrocytes

It is used to identify astrocytoma and glioblastoma.

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6
Q

Which tumors are associated with Neurofilament stains?

A

Neuronal tumors, e.g., neuroblastoma

Neurofilament targets neurons.

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7
Q

What does PSA stain indicate?

A

Prostate cancer

PSA targets prostatic epithelium.

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8
Q

PECAM-1/CD-31 stains are used to identify which type of tumors?

A

Vascular tumors, e.g., angiosarcoma

These stains target endothelial cells.

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9
Q

Which tumors are identified by S-100 stains?

A

Melanoma, schwannoma, Langerhans cell histiocytosis

S-100 targets neural crest cells.

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10
Q

What does TRAP stand for and which condition does it identify?

A

Tartrate-resistant acid phosphatase; identifies hairy cell leukemia

TRAP is a specific marker for this type of leukemia.

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11
Q

Vimentin stains target which type of tissue?

A

Mesenchymal tissue, e.g., fibroblasts, endothelial cells, macrophages

Vimentin is associated with mesenchymal tumors like sarcoma, as well as other tumors such as endometrial carcinoma.

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12
Q

What is P-glycoprotein and its role in cancer?

A

An ATP-dependent efflux pump also called multidrug resistance protein 1 (MDR1); expressed in some cancer cells to pump out toxins

This is one mechanism of responsiveness or resistance to chemotherapy over time.

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