Tumor Markers/Specific Stains Flashcards
What tissue is indicated by positive staining for:
Vimentin
Mesenchymal tissues (fibroblasts, endothelial cells, macrophages)
What tissue is indicated by positive staining for:
S-100
Neural Crest Cells
What tissue is indicated by positive staining for:
Desmin
Muscle
What tissue is indicated by positive staining for:
Cytokeratin
Epithelial cells
What tissue is indicated by positive staining for:
GFAP
Neuroglia (astrocytes, Scwhann cells, oligodendrocytes)
What tissue is indicated by positive staining for:
Neurofilament
Neurons
What tissue is indicated by positive staining for:
PSA
Prostatic epithelium
What tissue is indicated by positive staining for:
TRAP
Tartarate resistant acid phophatase
found in hairy cell leukemia
What tissue is indicated by positive staining for:
Chromogranin
Neuroendocrine cells
What tissue is indicated by positive staining for:
Synaptophysin
Neuroendocrine cells
These examples stain positive for what?
Sarcoma, endometrial carcinoma, renal cell carcinoma, meningioma
Vimentin
These examples stain positive for what?
Melanoma, schwannoma, langerhans cell histiocytosis
S-100
These examples stain positive for what?
Rhabdomyosarcoma
Desmin
These examples stain positive for what?
Squamous cell Carcinoma (and epithelial tumors)
Cytokeratin
These examples stain positive for what?
Astrocytoma, Glioblastoma
GFAP
These examples stain positive for what?
Neuroblastoma (neuronal tumors)
Neurofilament
These examples stain positive for what?
Prostate cancer
PSA
These examples stain positive for what?
Hairy cell Leukemia
TRAP
These examples stain positive for what?
Small cell carcinoma of the lung, carcinoid tumor
Chromogranin/Synaptophysin
This serum marker is associated with which tumors/cancers?
Alkaline phosphatase
Metastases to bone or liver
Paget disease of bone
Seminoma (placental ALP)
(exclude hepatic origin by checking LFTs and GGTs)
This serum marker is associated with which tumors/cancers?
AFP
Hepatocellular carcinoma Endodermal sinus (yolk sac) tumor Mixed germ cell tumor Ataxia telangiectasia Neural tube defects (HE-MAN is the alpha male)
This serum marker is associated with which tumors/cancers?
B-hCG
Hyatidiform moles
choriocarcinomas
Testicular cancer
Mixed germ cell tumor
(produced by syncytiotrophoblasts of the placenta)
This serum marker is associated with which tumors/cancers?
CA 15-3
Breast Cancer
This serum marker is associated with which tumors/cancers?
CA 27-29
Breast Cancer
This serum marker is associated with which tumors/cancers?
CA19-9
Pancreatic adenocarcinoma
This serum marker is associated with which tumors/cancers?
CA 125
Ovarian cancer
This serum marker is associated with which tumors/cancers?
Calcitonin
Medullary thyroid carcinoma
alone and in MEN2A and 2B
This serum marker is associated with which tumors/cancers?
CEA
Major associations:
Colorectal and pancreatic cancers
Minor associations:
Gastric, Breast, and Medullary thyroid carcinomas
(carcinoembryonic antigen very nonspecific)
This serum marker is associated with which tumors/cancers?
Chromogranin
Neuroendocrine tumors
This serum marker is associated with which tumors/cancers?
LDH
Testicular germ cell tumors
Ovarian Dysgerminoma
others as well
(can be used as an indicator of tumor burden)
This serum marker is associated with which tumors/cancers?
PSA
Prostate cancer
also associated with BPH and prostatitis