Abstract
Immunoreactivity to a monoclonal antibody against 5-hydroxytryptamine (5HT) was compared with Churukian Schenk argyrophilia and Masson Fontana argentaffin staining as an aid to the diagnosis of 53 carcinoid tumours. Thirty four tumours were argentaffin positive, 50 were argyrophil positive, and 43 contained immunologically detectable 5HT. In general, argentaffin staining and immunological detection of 5HT failed to pick up tumours derived from the foregut of type B or type D morphology. Argentaffin negative tumours usually showed only focal immunoreactivity for 5HT. If immunological detection of 5HT is used alone as a marker for carcinoid tumours problems arise in the differentiation of carcinoid tumours from adenocarcinomas which may also contain 5HT. These results were compared with those culled from other reported techniques used as an aid to the diagnosis of carcinoid tumours.
Full text
PDF







Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- AZZOPARDI J. G., POLLOCK D. J. ARGENTAFFIN AND ARGYROPHIL CELLS IN GASTRIC CARCINOMA. J Pathol Bacteriol. 1963 Oct;86:443–451. doi: 10.1002/path.1700860219. [DOI] [PubMed] [Google Scholar]
- Alumets J., Alm P., Falkmer S., Håkanson R., Ljungberg O., Mårtensson H., Sundler F., Tibblin S. Immunohistochemical evidence of peptide hormones in endocrine tumors of the rectum. Cancer. 1981 Dec 1;48(11):2409–2415. doi: 10.1002/1097-0142(19811201)48:11<2409::aid-cncr2820481112>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
- Arends J. W., Wiggers T., Verstijnen K., Bosman F. T. The occurrence and clinicopathological significance of serotonin immunoreactive cells in large bowel carcinoma. J Pathol. 1986 Jun;149(2):97–102. doi: 10.1002/path.1711490204. [DOI] [PubMed] [Google Scholar]
- Bosman F. T., de la Riviere A. B., Giard R. W., Verhofstad A. A., Cramer-Knijnenburg G. Amine and peptide hormone production by lung carcinoid: a clinicopathological and immunocytochemical study. J Clin Pathol. 1984 Aug;37(8):931–936. doi: 10.1136/jcp.37.8.931. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Consolazione A., Milstein C., Wright B., Cuello A. C. Immunocytochemical detection of serotonin with monoclonal antibodies. J Histochem Cytochem. 1981 Dec;29(12):1425–1430. doi: 10.1177/29.12.7033368. [DOI] [PubMed] [Google Scholar]
- Cuello A. C., Wells C., Chaplin A. J., Milstein C. Serotonin immunoreactivity in carcinoid tumours demonstrated by a monoclonal antibody. Lancet. 1982 Apr 3;1(8275):771–773. doi: 10.1016/s0140-6736(82)91814-1. [DOI] [PubMed] [Google Scholar]
- Godwin J. D., 2nd Carcinoid tumors. An analysis of 2,837 cases. Cancer. 1975 Aug;36(2):560–569. doi: 10.1002/1097-0142(197508)36:2<560::aid-cncr2820360235>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]
- Jones R. A., Dawson I. M. Morphology and staining patterns of endocrine cell tumours in the gut, pancreas and bronchus and their possible significance. Histopathology. 1977 Mar;1(2):137–150. doi: 10.1111/j.1365-2559.1977.tb01652.x. [DOI] [PubMed] [Google Scholar]
- Klein H. Z. Mucinous carcinoid tumor of the vermiform appendix. Cancer. 1974 Mar;33(3):770–777. doi: 10.1002/1097-0142(197403)33:3<770::aid-cncr2820330324>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
- Lei D. N., Elias J. M. The detection of serotonin and gastrin in gastric carcinoma. Am J Clin Pathol. 1983 Oct;80(4):436–440. doi: 10.1093/ajcp/80.4.436. [DOI] [PubMed] [Google Scholar]
- Lundqvist M., Wilander E., Esscher T., Påhlman S. Neuron-specific enolase in mucosal endocrine cells and carcinoid tumours of the small intestine: a comparative study with neuron-specific enolase immunocytochemistry and silver stains. Histochem J. 1985 Mar;17(3):323–331. doi: 10.1007/BF01004594. [DOI] [PubMed] [Google Scholar]
- Miller I. D., Reid W. A., Liddle C. N., Horne C. H. Immunolocalization of prealbumin as a marker for carcinoid tumours. J Pathol. 1984 Jul;143(3):199–204. doi: 10.1002/path.1711430308. [DOI] [PubMed] [Google Scholar]
- Milstein C., Wright B., Cuello A. C. The discrepancy between the cross-reactivity of a monoclonal antibody to serotonin and its immunohistochemical specificity. Mol Immunol. 1983 Jan;20(1):113–123. doi: 10.1016/0161-5890(83)90110-4. [DOI] [PubMed] [Google Scholar]
- Moertel C. G., Dockerty M. B., Judd E. S. Carcinoid tumors of the vermiform appendix. Cancer. 1968 Feb;21(2):270–278. doi: 10.1002/1097-0142(196802)21:2<270::aid-cncr2820210217>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
- Nilsson O., Ericson L. E., Dahlström A., Ekholm R., Steinbusch H. W., Ahlman H. Subcellular localization of serotonin immunoreactivity in rat enterochromaffin cells. Histochemistry. 1985;82(4):351–355. doi: 10.1007/BF00494064. [DOI] [PubMed] [Google Scholar]
- Rode J., Dhillon A. P., Doran J. F., Jackson P., Thompson R. J. PGP 9.5, a new marker for human neuroendocrine tumours. Histopathology. 1985 Feb;9(2):147–158. doi: 10.1111/j.1365-2559.1985.tb02431.x. [DOI] [PubMed] [Google Scholar]
- SANDERS R. J., AXTELL H. K. CARCINOIDS OF THE GASTROINTESTINAL TRACT. Surg Gynecol Obstet. 1964 Aug;119:369–380. [PubMed] [Google Scholar]
- Schmechel D. E. Gamma-subunit of the glycolytic enzyme enolase: nonspecific or neuron specific? Lab Invest. 1985 Mar;52(3):239–242. [PubMed] [Google Scholar]
- Sheppard M. N., Corrin B., Bennett M. H., Marangos P. J., Bloom S. R., Polak J. M. Immunocytochemical localization of neuron specific enolase in small cell carcinomas and carcinoid tumours of the lung. Histopathology. 1984 Mar;8(2):171–181. doi: 10.1111/j.1365-2559.1984.tb02334.x. [DOI] [PubMed] [Google Scholar]
- Smith D. M., Jr, Haggitt R. C. A comparative study of generic stains for carcinoid secretory granules. Am J Surg Pathol. 1983 Jan;7(1):61–68. doi: 10.1097/00000478-198301000-00006. [DOI] [PubMed] [Google Scholar]
- Soga J., Tazawa K. Pathologic analysis of carcinoids. Histologic reevaluation of 62 cases. Cancer. 1971 Oct;28(4):990–998. doi: 10.1002/1097-0142(1971)28:4<990::aid-cncr2820280424>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]
- Tapia F. J., Polak J. M., Barbosa A. J., Bloom S. R., Marangos P. J., Dermody C., Pearse A. G. Neuron-specific enolase is produced by neuroendocrine tumours. Lancet. 1981 Apr 11;1(8224):808–811. doi: 10.1016/s0140-6736(81)92682-9. [DOI] [PubMed] [Google Scholar]
- Taxy J. B., Mendelsohn G., Gupta P. K. Carcinoid tumors of the rectum. Silver reactions, fluorescence, and serotonin content of the cytoplasmic granules. Am J Clin Pathol. 1980 Dec;74(6):791–795. doi: 10.1093/ajcp/74.6.791. [DOI] [PubMed] [Google Scholar]
- Wells C. A., Taylor S. M., Cuello A. C. Argentaffin and argyrophil reactions and serotonin content of endocrine tumours. J Clin Pathol. 1985 Jan;38(1):49–53. doi: 10.1136/jcp.38.1.49. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilander E., El-Salhy M., Pitkänen P. Histopathology of gastric carcinoids: a survey of 42 cases. Histopathology. 1984 Mar;8(2):183–193. doi: 10.1111/j.1365-2559.1984.tb02335.x. [DOI] [PubMed] [Google Scholar]
- Wilander E., Grimelius L., Lundqvist G., Skoog V. Polypeptide hormones in argentaffin and argyrophil gastroduodenal endocrine tumors. Am J Pathol. 1979 Aug;96(2):519–530. [PMC free article] [PubMed] [Google Scholar]
- Wilander E., Lundqvist M., el-Salhy M. Serotonin in fore-gut carcinoids. A survey of 60 cases with regard to silver stains, formalin-induced fluorescence and serotonin immunocytochemistry. J Pathol. 1985 Mar;145(3):251–258. doi: 10.1002/path.1711450306. [DOI] [PubMed] [Google Scholar]
- Wilander E., Portela-Gomes G., Grimelius L., Westermark P. Argentaffin and argyrophil reactions of human gastrointestinal carcinoids. Gastroenterology. 1977 Oct;73(4 Pt 1):733–736. [PubMed] [Google Scholar]
- Yang K., Ulich T., Cheng L., Lewin K. J. The neuroendocrine products of intestinal carcinoids. An immunoperoxidase study of 35 carcinoid tumors stained for serotonin and eight polypeptide hormones. Cancer. 1983 May 15;51(10):1918–1926. doi: 10.1002/1097-0142(19830515)51:10<1918::aid-cncr2820511027>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]



