Staining Flashcards
Cytokeratin
Normal: epidermis and adnexal epithelium
Useful: SCC
S-100 protien
Normal: melanocytes, Langerhans, eccrine glands, chondrocytes, adipose tissu, nerves
Use: melanoma, adnexal tumors, neural tumors
HMB-45
Normal: melanocytes
Useful: some melanomas, nevi
MelanA/MART-1
Normal: melanocytes
Use: melanomas, some nevi
Mel-5
Normal: melanocytes
Useful for: some melanomas/nevi, vitiligo
Vimentin
Normal: tissue with mesenchymal derivation
Use: AFX, sarcomas, melanomas, some SCCs
Desmin
Normal: smooth/skeletal muscle
Use: muscle tumors
Smooth muscle actin (SMA)
Normal: smooth muscle, myofibroblastic cells
Use: smooth muscle tumors, some AFXs
Carcinoembryonic antigen (CEA)
Normal: eccrine/apocrine glands
Use: Adnexal tumors, Paget’s of the breast, fibroxanthomas
Epithelial membrane antigen (EMA)
Normal: sebacerous, eccrine, apocrine glands
Use: sebaceous tumors, SCC, epitheliod sarcoma, anaplastic large cell lymphoma
Neuron-specific enolase (NSE)
Normal: non-specific neuroendocrine marker
Use: Merkel
Chromogranin
Normal: neuroendocrine cells
Use: Merkel
Synaptophysin
Normal: neuroendocrine cells
Use: Merkel
Cytokeratin 20
Normal: neuroendocrine cells
Use: Merkel, trichoepithelioma
Fctor VII-related antigen
Normal: endothelial cells, platelets, megakaryocytes
Use: Vascular tumors
CD34
Normal: endothelial cells, stem cells
Use: DFSP, vascular tumors
Factor XIIIa
Normal: dermal dendrocytes
Use: DF
Cytokeratin 6/5, p63
Normal: epithelial cells
P63 use for: primary cutaneous adnexal tumors, negative in metastatic adenocarcinomas
TTF-1
Normal: thyroid tissue
Use: lung carcinoma, negative in Merkel
Adipophilin
Use: sebaceous carcinoma