To determine the differences between the cellular characteristics of t
hymic carcinoma and thymoma, immunohistochemical analysis with lymphoc
yte markers (CD1a, 3, 4, 5, 8, 10, 20, 21, 25, 30, 57, and 72) was per
formed on 23 thymic epithelial tumors other than lymphocytic thymoma:
overt thymic carcinoma (OC, n = 7), atypical thymoma (n = 5), and typi
cal thymoma (epithelial or mixed thymoma, n = 11). Among the surface a
nti,pens examined, CD5, a type of receptor molecule that signals cell
growth in T cells, was expressed in neoplastic epithelial cells of the
thymus, in OC (seven of seven) and atypical thymoma (two of five), bu
t not in typical thymoma. Double labeling immunofluorescence demonstra
ted expression of CD5 in cytokeratin-positive cells. The CD5 molecule
extracted from an OC tumor showed the same molecular size as that in t
he spleen, but CD72, a ligand of CD5 on the surface of B cells, was no
t found in the epithelial cells of OC or atypical thymoma. Expression
of CD5 was not observed in carcinomas of other organs, such as lung (n
= 15), breast (n = 4), esophagus (n = 6), stomach (n = 6), colon (n =
3), and uterine cervix (n = 3) CD5 is closely related to morphologica
l changes in thymic epithelial tumors and may play a rob in the evolut
ion of Oc through receptor-ligand interaction.