Immunohistochemistry, Urinary Bladder



Immunohistochemistry, Urinary Bladder


Jesse K. McKenney, MD

Rugvedita Parakh, MD

Danielle E. Westfall, MD



















































High-Grade Undifferentiated Carcinoma


Antibody


Prostate


Urothelial


PSA


68-94%


0%


PAP


78-95%


0%


PSMA


> 95% (best)


0%


HMCK(34βE12)


6-10%


65-100%


Uroplakin-3


0%


57-60%


Thrombomodulin


0%


49-69%


p63


0-18%


70-75%


CD57


94%


17%


S100p


0-1%


78-86%


GATA3


0-3%


67%












































Enteric-type Adenocarcinoma


Antibody


Bladder


Colon


CK7(+)/CK20(+)


24%


8%


CK7(+)/CK20(-)


41%


0%


CK7(-)/CK20(+)


29%


82%


CK7(-)/CK20(-)


6%


10%


CDX-2


47-100%


99-100%


β-catenin


0%


81% (best)


Villin


65-100%


82-98%


Thrombomodulin


59%


0%





















































Spindle Cell Proliferations: Adults


Antibody


Pseudosarcomatous Myofibroblastic Proliferation


Sarcomatoid Carcinoma


Leiomyosarcoma


Actin-sm


63-100%


15-80%


43-100%


Desmin


27-80%


0-40%


0-60%


h-caldesmon


0-66%


ND


100%


PAN-CK(AE1/AE3)


36-89%


67-100%


0-38%


EMA/MUC1


0-50%


50-100%


0-12%


ALK1


75-89%


0%


10%


p63


0%


50%


23%


HMCK(34βE12)


0%


25-27%


0%
































Spindle Cell Proliferations: Children


Antibody


Pseudosarcomatous Myofibroblastic Proliferation


Rhabdomyosarcoma


Actin-sm


63-100%


97%


Desmin


27-80%


97%


MyoD1


0%


100%


Myogenin


0%


100%


ALK1


75-89%


20%








































Bladder Neoplasms with Nested Morphology


Antibody


Paraganglioma


Carcinoid


Urothelial Carcinoma


Melanoma


PAN-CK(AE1/AE3)



+


+



Synaptophysin


+


+




Chromogranin


+


+




S100


+ (sustentacular cells)




+


ND – No Data





























Flat Urothelial Lesions with Atypia (URO3 Cocktail)


Antibody


Normal


Reactive


CIS


CK20 (cytoplasmic, red)


Umbrella layer only


Umbrella layer only


Full thickness urothelium


CD44 (membranous, brown)


Basal layer only


Increased expression in intermediate cells to full thickness urothelium


Basal layer only or loss of expression


p53 (nuclear, brown)


Rare cells; weak reactivity


Rare cells; weak reactivity


Diffuse, strong reactivity


URO3 is a antibody cocktail comprised of three antibodies: CK20, CD44, and p53.



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Jul 7, 2016 | Posted by in PATHOLOGY & LABORATORY MEDICINE | Comments Off on Immunohistochemistry, Urinary Bladder

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