Ec. Ko et al., Use of a panel of markers in the differential diagnosis of adenocarcinoma and reactive mesothelial cells in fluid cytology, AM J CLIN P, 116(5), 2001, pp. 709-715
Citations number
49
Categorie Soggetti
Research/Laboratory Medicine & Medical Tecnology","Medical Research Diagnosis & Treatment
To evaluate the use of a panel of markers to differentiate adenocarcinoma a
nd the reactive/ inflammatory process in fluid cytology, we stained 29 form
alin-fixed, paraffin-embedded cell blocks of effusion fluid from. patients
with metastatic adenocarcinoma and 24 cell blocks from patients with benign
effusion with mucicarmine and antibodies to carcinoembryonic antigen (CEA)
, B72.3, and calretinin. Positive staining with CEA, B72.3, and mucicarmine
was seen in 22 (76%), 20 (69%), and 18 (62%) adenocarcinoma cases, respect
ively. All except 1 adenocarcinoma was negative for calretinin. No benign c
ases were positive for B72.3 and mucicarmine. In 1 benign case, scattered e
pithelial cells demonstrated weak positivity for CEA. The majority of combi
nations were 100% specific for adenocarcinoma. The highest sensitivity (86%
) for adenocarcinomas was achieved with the staining combination of negativ
e for calretinin and positive for any adenocarcinoma marker (CEA, B72.3, or
mucicarmine). The use of a panel of markers that recognize adenocarcinoma
and mesothelial cells is useful in the differential diagnosis between metas
tatic adenocarcinoma and the reactive/inflammatory process. The profile of
positive staining with at least one of the adenocarcinoma markers and negat
ive calretinin staining is highly specific and sensitive for identifying ad
enocarcinoma in fluid cytology.