Immunohistochemical Tumor Differentiation
|
Type of Filament |
Tissue Origin |
Tumor Type |
|
Keratin,Cytokeratin |
Epithelial Cells |
Carcinomas(Squamous and Adeno) Synovial and epithelial sarcomas Non-Seminoma Germ Cell Tumors Some neuroendocrine carcinoma Choroid Plexus Tumors Some leiomyomas |
|
Vimentin |
Mesenchymal Cells Macrophages Endothelial Cells |
Sarcomas (all types) Malignant Fibrous Histiocytoma Seminoma Schwannoma, meningioma Occasionally in some adenoca |
|
Desmin |
Muscle Cells |
Skeletal, smooth, or cardiac muscle sarcomas |
|
Glial fibrillary acidic protein (GFAP) |
Glial Cells |
Astrocytomas, gliomas Choroid plexus tumors, some oligodendrogliomas, Schwannomas, neurofibromas, some salivary gland mixed tumors |
|
Neurofilament |
Neurons or neural crest |
Neuron-derived CNS tumors Neural crest-origin tumors: Neuroblastoma, retinoblastoma, medullablastoma Neuroectoderm-derived tumors: Pheochromocytoma, lung, and GI tract carcinoids, some small cell lung ca, Merkel Cell tumor, parathyroid adenoma, pancreatic islet cell tumors, paraganglioma |
|
S-100 Protein |
Central Nervous and Peripheral Nervous System Also from pancreas, breast, thyroid, gallbladder, liver, melanocytes |
Central Nervous System and Peripheral Nervous System Tumors Melanomas, histiocytosis X, Cholangiocarcinoma, pancreatic duct and islet cell carcinomas, other various carcinomas |
|
Epithelial Membrane Antigen |
Milk fat globule membranes |
Same as keratin |
|
Neuron Specific Enolase |
Neurons |
Gliomas, Carcinoids, small cell (lung), neuroblastomas, neuroendocrine, melanoma, meningiomas, schwannomas |
|
Melanoma Specific Antibody(HMB-45) |
Melanocytes |
Benign and malignant tumors of the melanocytes |
|
Leukocyte common antigen |
B- and T- cells |
Leukemias, and Lymphomas |
|
Factor VIII related antigen |
Endothelial Cells |
Angiosarcomas, Kaposi's Sarcoma |
|
Myoglobin |
Skeletal Muscle |
Rhabdomyosarcoma |
|
Muscle-specific actin |
Muscle all types |
Muscle derived sarcomas |
|
Chromogranin |
Neuroendocrine |
Pheochromocytoma, carcinoids, paragangliomas |