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
Melanoma

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