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. 1987 Nov;40(11):1298–1304. doi: 10.1136/jcp.40.11.1298

Value of CD15 immunostaining in diagnosing Hodgkin's disease: a review of published literature.

P A Hall 1, A J D'Ardenne 1
PMCID: PMC1141228  PMID: 3320093

Abstract

The role of antibodies of CD15 as diagnostic markers of Hodgkin's disease was assessed from a review of the literature. A total of 571 cases of Hodgkin's disease and 386 cases of non-Hodgkin's lymphoma were included. The sensitivity of CD15 in detecting cases of Hodgkin's disease was 80% or 91% if cases of lymphocyte predominant Hodgkin's disease were excluded. The specificity of CD15 was only 80.6%, or in other words, 19.4% of cases of non-Hodgkin's lymphoma were CD15 positive. In an ideal test both the sensitivity and specificity would be 100% and if the test performance were no better than chance then they would both be 50%. It is concluded that CD15 immunostaining cannot be regarded as a sensitive or specific marker of Hodgkin's disease. Application of this formal method of analysis to other immunohistological reagents and panels of antibodies is discussed.

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Selected References

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  1. Abdulaziz Z., Mason D. Y., Stein H., Gatter K. C., Nash J. R. An immunohistological study of the cellular constituents of Hodgkin's disease using a monoclonal antibody panel. Histopathology. 1984 Jan;8(1):1–25. doi: 10.1111/j.1365-2559.1984.tb02318.x. [DOI] [PubMed] [Google Scholar]
  2. Battifora H., Kopinski M. I. Distinction of mesothelioma from adenocarcinoma. An immunohistochemical approach. Cancer. 1985 Apr 15;55(8):1679–1685. doi: 10.1002/1097-0142(19850415)55:8<1679::aid-cncr2820550812>3.0.co;2-c. [DOI] [PubMed] [Google Scholar]
  3. Bosq J., Gatter K. C., Micheau C., Mason D. Y. Role of immunohistochemistry in diagnosis of nasopharyngeal tumours. J Clin Pathol. 1985 Aug;38(8):845–848. doi: 10.1136/jcp.38.8.845. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Coakham H. B., Garson J. A., Allan P. M., Harper E. I., Brownell B., Kemshead J. T., Lane E. B. Immunohistological diagnosis of central nervous system tumours using a monoclonal antibody panel. J Clin Pathol. 1985 Feb;38(2):165–173. doi: 10.1136/jcp.38.2.165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Coppleson L. W., Factor R. M., Strum S. B., Graff P. W., Rappaport H. Observer disagreement in the classification and histology of Hodgkin's disease. J Natl Cancer Inst. 1970 Oct;45(4):731–740. [PubMed] [Google Scholar]
  6. Crocker J., Burnett D. Granulocyte markers in histopathology: a review. J Pathol. 1986 Oct;150(2):77–88. doi: 10.1002/path.1711500202. [DOI] [PubMed] [Google Scholar]
  7. Dorfman R. F., Warnke R. Lymphadenopathy simulating the malignant lymphomas. Hum Pathol. 1974 Sep;5(5):519–550. doi: 10.1016/s0046-8177(74)80005-5. [DOI] [PubMed] [Google Scholar]
  8. Dorreen M. S., Habeshaw J. A., Stansfeld A. G., Wrigley P. F., Lister T. A. Characteristics of Sternberg-Reed, and related cells in Hodgkin's disease: an immunohistological study. Br J Cancer. 1984 Apr;49(4):465–476. doi: 10.1038/bjc.1984.74. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Falini B., Pulford K., Erber W. N., Posnett D. N., Pallesen G., Schwarting R., Annino L., Cafolla A., Canino S., Mori A. Use of a panel of monoclonal antibodies for the diagnosis of hairy cell leukaemia. An immunocytochemical study of 36 cases. Histopathology. 1986 Jul;10(7):671–687. doi: 10.1111/j.1365-2559.1986.tb02521.x. [DOI] [PubMed] [Google Scholar]
  10. Foon K. A., Todd R. F., 3rd Immunologic classification of leukemia and lymphoma. Blood. 1986 Jul;68(1):1–31. [PubMed] [Google Scholar]
  11. Forni M., Hofman F. M., Parker J. W., Lukes R. J., Taylor C. R. B- and T-lymphocytes in Hodgkin's disease. An immunohistochemical study utilizing heterologous and monoclonal antibodies. Cancer. 1985 Feb 15;55(4):728–737. doi: 10.1002/1097-0142(19850215)55:4<728::aid-cncr2820550409>3.0.co;2-s. [DOI] [PubMed] [Google Scholar]
  12. Frierson H. F., Jr, Innes D. J., Jr Sensitivity of anti-Leu-M1 as a marker in Hodgkin's disease. Arch Pathol Lab Med. 1985 Nov;109(11):1024–1028. [PubMed] [Google Scholar]
  13. Galen R. S. Application of the predictive value model in the analysis of test effectiveness. Clin Lab Med. 1982 Dec;2(4):685–699. [PubMed] [Google Scholar]
  14. Gatter K. C., Abdulaziz Z., Beverley P., Corvalan J. R., Ford C., Lane E. B., Mota M., Nash J. R., Pulford K., Stein H. Use of monoclonal antibodies for the histopathological diagnosis of human malignancy. J Clin Pathol. 1982 Nov;35(11):1253–1267. doi: 10.1136/jcp.35.11.1253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Gatter K. C., Ralfkiaer E., Skinner J., Brown D., Heryet A., Pulford K. A., Hou-Jensen K., Mason D. Y. An immunocytochemical study of malignant melanoma and its differential diagnosis from other malignant tumours. J Clin Pathol. 1985 Dec;38(12):1353–1357. doi: 10.1136/jcp.38.12.1353. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Griner P. F., Mayewski R. J., Mushlin A. I., Greenland P. Selection and interpretation of diagnostic tests and procedures. Principles and applications. Ann Intern Med. 1981 Apr;94(4 Pt 2):557–592. [PubMed] [Google Scholar]
  17. Grint P. C., Ronalds C. J., Kangro H. O., Campbell-Benzie A., Ward F., Hardiman A. E., Heath R. B. Screening tests for antibodies to cytomegalovirus: an evaluation of five commercial products. J Clin Pathol. 1985 Sep;38(9):1059–1064. doi: 10.1136/jcp.38.9.1059. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Hanjan S. N., Kearney J. F., Cooper M. D. A monoclonal antibody (MMA) that identifies a differentiation antigen on human myelomonocytic cells. Clin Immunol Immunopathol. 1982 May;23(2):172–188. doi: 10.1016/0090-1229(82)90106-4. [DOI] [PubMed] [Google Scholar]
  19. Hsu S. M., Jaffe E. S. Leu M1 and peanut agglutinin stain the neoplastic cells of Hodgkin's disease. Am J Clin Pathol. 1984 Jul;82(1):29–32. doi: 10.1093/ajcp/82.1.29. [DOI] [PubMed] [Google Scholar]
  20. Hsu S. M., Yang K., Jaffe E. S. Phenotypic expression of Hodgkin's and Reed-Sternberg cells in Hodgkin's disease. Am J Pathol. 1985 Feb;118(2):209–217. [PMC free article] [PubMed] [Google Scholar]
  21. Hyder D. M., Schnitzer B. Utility of Leu M1 monoclonal antibody in the differential diagnosis of Hodgkin's disease. Arch Pathol Lab Med. 1986 May;110(5):416–419. [PubMed] [Google Scholar]
  22. Jack A. S., Cunningham D., Soukop M., Liddle C. N., Lee F. D. Use of Leu M1 and antiepithelial membrane antigen monoclonal antibodies for diagnosing Hodgkin's disease. J Clin Pathol. 1986 Mar;39(3):267–270. doi: 10.1136/jcp.39.3.267. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Kadin M., Nasu K., Sako D., Said J., Vonderheid E. Lymphomatoid papulosis. A cutaneous proliferation of activated helper T cells expressing Hodgkin's disease-associated antigens. Am J Pathol. 1985 May;119(2):315–325. [PMC free article] [PubMed] [Google Scholar]
  24. Kornstein M. J., Bonner H., Gee B., Cohen R., Brooks J. J. Leu M1 and S100 in Hodgkin's disease and non-Hodgkin's lymphomas. Am J Clin Pathol. 1986 Apr;85(4):433–437. doi: 10.1093/ajcp/85.4.433. [DOI] [PubMed] [Google Scholar]
  25. Leader M., Patel J., Makin C., Henry K. An analysis of the sensitivity and specificity of the cytokeratin marker CAM 5.2 for epithelial tumours. Results of a study of 203 sarcomas, 50 carcinomas and 28 malignant melanomas. Histopathology. 1986 Dec;10(12):1315–1324. doi: 10.1111/j.1365-2559.1986.tb02574.x. [DOI] [PubMed] [Google Scholar]
  26. Meis J. M., Osborne B. M., Butler J. J. A comparative marker study of large cell lymphoma, Hodgkin's disease, and true histiocytic lymphoma in paraffin-embedded tissue. Am J Clin Pathol. 1986 Nov;86(5):591–599. doi: 10.1093/ajcp/86.5.591. [DOI] [PubMed] [Google Scholar]
  27. Miller T. P., Byrne G. E., Jones S. E. Mistaken clinical and pathologic diagnoses of Hodgkin's disease: a Southwest oncology group study. Cancer Treat Rep. 1982 Apr;66(4):645–651. [PubMed] [Google Scholar]
  28. Minkowitz S., Moskowitz R., Khafif R. A., Alderete M. N. TRU-CUT needle biopsy of the breast. An analysis of its specificity and sensitivity. Cancer. 1986 Jan 15;57(2):320–323. doi: 10.1002/1097-0142(19860115)57:2<320::aid-cncr2820570221>3.0.co;2-c. [DOI] [PubMed] [Google Scholar]
  29. Myskow M. W., Krajewski A. S. Immunoreactivity of Reed Sternberg cells in paraffin and frozen sections. J Clin Pathol. 1986 Sep;39(9):1043–1045. doi: 10.1136/jcp.39.9.1043. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Norton A. J., Isaacson P. G. An immunocytochemical study of T-cell lymphomas using monoclonal and polyclonal antibodies effective in routinely fixed wax embedded tissues. Histopathology. 1986 Dec;10(12):1243–1260. doi: 10.1111/j.1365-2559.1986.tb02568.x. [DOI] [PubMed] [Google Scholar]
  31. Norton A. J., Isaacson P. G. Granulocyte and HLA-D region specific monoclonal antibodies in the diagnosis of Hodgkin's disease. J Clin Pathol. 1985 Nov;38(11):1241–1246. doi: 10.1136/jcp.38.11.1241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Pauker S. G., Kassirer J. P. Decision analysis. N Engl J Med. 1987 Jan 29;316(5):250–258. doi: 10.1056/NEJM198701293160505. [DOI] [PubMed] [Google Scholar]
  33. Pinkus G. S., Said J. W. Leu-M1 immunoreactivity in nonhematopoietic neoplasms and myeloproliferative disorders. An immunoperoxidase study of paraffin sections. Am J Clin Pathol. 1986 Mar;85(3):278–282. doi: 10.1093/ajcp/85.3.278. [DOI] [PubMed] [Google Scholar]
  34. Pinkus G. S., Thomas P., Said J. W. Leu-M1--a marker for Reed-Sternberg cells in Hodgkin's disease. An immunoperoxidase study of paraffin-embedded tissues. Am J Pathol. 1985 May;119(2):244–252. [PMC free article] [PubMed] [Google Scholar]
  35. Ransohoff D. F., Feinstein A. R. Problems of spectrum and bias in evaluating the efficacy of diagnostic tests. N Engl J Med. 1978 Oct 26;299(17):926–930. doi: 10.1056/NEJM197810262991705. [DOI] [PubMed] [Google Scholar]
  36. Rozanski A., Diamond G. A., Berman D., Forrester J. S., Morris D., Swan H. J. The declining specificity of exercise radionuclide ventriculography. N Engl J Med. 1983 Sep 1;309(9):518–522. doi: 10.1056/NEJM198309013090902. [DOI] [PubMed] [Google Scholar]
  37. Scheuer P. J. Changing views on chronic hepatitis. Histopathology. 1986 Jan;10(1):1–4. doi: 10.1111/j.1365-2559.1986.tb02455.x. [DOI] [PubMed] [Google Scholar]
  38. Schwartz W. B., Wolfe H. J., Pauker S. G. Pathology and probabilities: a new approach to interpreting and reporting biopsies. N Engl J Med. 1981 Oct 15;305(16):917–923. doi: 10.1056/NEJM198110153051604. [DOI] [PubMed] [Google Scholar]
  39. Sheibani K., Battifora H., Burke J. S., Rappaport H. Leu-M1 antigen in human neoplasms. An immunohistologic study of 400 cases. Am J Surg Pathol. 1986 Apr;10(4):227–236. doi: 10.1097/00000478-198604000-00001. [DOI] [PubMed] [Google Scholar]
  40. Silcocks P. B., Herbert A., Wright D. H. Evaluation of PAS-diastase and carcinoembryonic antigen staining in the differential diagnosis of malignant mesothelioma and papillary serous carcinoma of the ovary. J Pathol. 1986 Jun;149(2):133–141. doi: 10.1002/path.1711490208. [DOI] [PubMed] [Google Scholar]
  41. Sloane J. P., Ormerod M. G. Distribution of epithelial membrane antigen in normal and neoplastic tissues and it value in diagnostic tumor pathology. Cancer. 1981 Apr 1;47(7):1786–1795. doi: 10.1002/1097-0142(19810401)47:7<1786::aid-cncr2820470711>3.0.co;2-8. [DOI] [PubMed] [Google Scholar]
  42. Sox H. C., Jr Probability theory in the use of diagnostic tests. An introduction to critical study of the literature. Ann Intern Med. 1986 Jan;104(1):60–66. doi: 10.7326/0003-4819-104-1-60. [DOI] [PubMed] [Google Scholar]
  43. Stein H., Gerdes J., Schwab U., Lemke H., Diehl V., Mason D. Y., Bartels H., Ziegler A. Evidence for the detection of the normal counterpart of Hodgkin and Sternberg-Reed cells. Hematol Oncol. 1983 Jan-Mar;1(1):21–29. doi: 10.1002/hon.2900010105. [DOI] [PubMed] [Google Scholar]
  44. Stein H., Hansmann M. L., Lennert K., Brandtzaeg P., Gatter K. C., Mason D. Y. Reed-Sternberg and Hodgkin cells in lymphocyte-predominant Hodgkin's disease of nodular subtype contain J chain. Am J Clin Pathol. 1986 Sep;86(3):292–297. doi: 10.1093/ajcp/86.3.292. [DOI] [PubMed] [Google Scholar]
  45. Stein H., Lennert K., Feller A. C., Mason D. Y. Immunohistological analysis of human lymphoma: correlation of histological and immunological categories. Adv Cancer Res. 1984;42:67–147. doi: 10.1016/s0065-230x(08)60456-x. [DOI] [PubMed] [Google Scholar]
  46. Stein H., Mason D. Y., Gerdes J., O'Connor N., Wainscoat J., Pallesen G., Gatter K., Falini B., Delsol G., Lemke H. The expression of the Hodgkin's disease associated antigen Ki-1 in reactive and neoplastic lymphoid tissue: evidence that Reed-Sternberg cells and histiocytic malignancies are derived from activated lymphoid cells. Blood. 1985 Oct;66(4):848–858. [PubMed] [Google Scholar]
  47. Strauchen J. A., Dimitriu-Bona A. Immunopathology of Hodgkin's disease. Characterization of Reed-Sternberg cells with monoclonal antibodies. Am J Pathol. 1986 May;123(2):293–300. [PMC free article] [PubMed] [Google Scholar]
  48. Strum S. B., Park J. K., Rappaport H. Observation of cells resembling Sternberg-Reed cells in conditions other than Hodgkin's disease. Cancer. 1970 Jul;26(1):176–190. doi: 10.1002/1097-0142(197007)26:1<176::aid-cncr2820260123>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]
  49. Swerdlow S. H., Wright S. A. The spectrum of Leu-M1 staining in lymphoid and hematopoietic proliferations. Am J Clin Pathol. 1986 Mar;85(3):283–288. doi: 10.1093/ajcp/85.3.283. [DOI] [PubMed] [Google Scholar]
  50. Symmers W. S., Sr Survey of the eventual diagnosis in 600 cases referred for a second histological opinion after an initial biopsy diagnosis of Hodgkin's disease. J Clin Pathol. 1968 Sep;21(5):650–653. doi: 10.1136/jcp.21.5.650. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Tindle B. H., Parker J. W., Lukes R. J. "Reed-Sternberg cells" in infectious mononucleosis? Am J Clin Pathol. 1972 Dec;58(6):607–617. doi: 10.1093/ajcp/58.6.607. [DOI] [PubMed] [Google Scholar]
  52. Vernon S. E., Morgan T. W. Immunoglobulin light chain staining of lymph node biopsies: an interlaboratory comparison. Ann Clin Lab Sci. 1981 Nov-Dec;11(6):525–529. [PubMed] [Google Scholar]
  53. Warnke R. A., Rouse R. V. Limitations encountered in the application of tissue section immunodiagnosis to the study of lymphomas and related disorders. Hum Pathol. 1985 Apr;16(4):326–331. doi: 10.1016/s0046-8177(85)80226-4. [DOI] [PubMed] [Google Scholar]
  54. Wieczorek R., Burke J. S., Knowles D. M., 2nd Leu-M1 antigen expression in T-cell neoplasia. Am J Pathol. 1985 Dec;121(3):374–380. [PMC free article] [PubMed] [Google Scholar]

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