Table 2.
Immunohistochemical Features of Pancreatic Neuroendocrine Neoplasms
Marker | Proliferation | Markers of PanNET (ref 20) | Markers of Neuroendocrine Differentiation |
Markers of Cell Cycle Regulation |
PDAC Marker |
Therapeutic Target |
|||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Ki67 (%) | Mitotic Rate |
DAXX | ATRX | Pten | CD56 | Pdx1 | PAX8 | p53 | Rb | p16 | Smad4 | Bcl-2 | |
Small Cell Neuroendocrine Carcinoma (Small Cell NEC)a | |||||||||||||
1 | 58.1 | 50 | + | + | − | + | + | + | + | − | + | + | + |
2 | 36.9 | 42 | + | + | + | + | − | − | + | − | + | + | + |
3 | 55.9 | 36 | + | + | + | + | − | − | + | − | + | + | + |
4 | 57.1 | 22 | + | + | + | + | − | + | + | + | − | + | + |
5 | 59.7 | 56 | + | + | + | + | − | + | + | − | + | + | + |
6 | 77.6 | 33 | + | + | + | + | NAb | − | + | − | + | + | + |
7 | 55.1 | 49 | + | + | + | + | − | − | + | − | + | + | + |
8 | 57.4 | 22 | + | + | + | + | − | − | + | − | + | + | + |
9 | 85.8 | 58 | + | + | + | + | + | + | + | − | + | + | + |
Large Cell Neuroendocrine Carcinoma (Large Cell NEC)a | |||||||||||||
10 | 55.2 | 53 | + | + | + | + | − | − | + | − | + | + | + |
11 | 68.4 | 31 | + | + | + | + | + | + | + | − | + | + | − |
12 | 56.1 | 74 | + | + | + | − | − | − | + | − | − | + | + |
13 | 67.1 | 48 | + | + | + | − | + | − | + | − | + | + | − |
14 | 39.5 | 29 | + | + | + | + | + | + | + | + | − | + | + |
15 | 38.7 | 28 | + | + | + | + | − | + | + | − | + | + | + |
16 | 37.2 | 25 | + | + | + | + | − | − | + | − | + | + | + |
17 | 22.0 | 31 | + | + | + | + | − | + | + | + | − | − | − |
18 | 30.1 | 4 | + | + | + | − | − | − | + | + | − | + | − |
19 | 20.0 | 20 | + | + | + | + | + | + | − | + | − | + | − |
Well-differentiated Neuroendocrine Tumor (NET, G2, intermediate-grade) | |||||||||||||
20 | 9.2 | 3 | + | + | + | + | NAb | − | − | + | + | + | + |
21 | 8.9 | 2 | + | + | + | − | + | + | − | + | + | + | + |
22 | 3.3 | 2 | + | − | + | + | + | + | − | + | + | + | − |
23 | 5.7 | 1 | + | + | + | − | + | − | − | + | + | + | − |
24 | 2.3 | 2 | + | + | + | + | + | − | − | + | + | + | − |
Well-differentiated Neuroendocrine Tumor (NET, G1, low-grade) | |||||||||||||
25 | 0.4 | 0 | + | + | + | + | NAb | + | − | + | + | + | − |
26 | 1.3 | 0 | + | − | + | NAb | + | + | − | + | + | + | − |
27 | 1.7 | 0 | + | + | + | − | + | + | − | + | + | + | − |
28 | 0.8 | 0 | + | −c | + | + | + | + | − | + | + | + | − |
29 | 0.8 | 0 | + | + | + | + | + | − | − | + | + | + | − |
30 | 0.2 | 1 | −c | −c | + | + | − | − | − | + | + | + | − |
p=0.02, mean Ki67 labeling index of Small Cell NEC versus Large Cell NEC.
NA, not analyzed or technical failure.
Areas of both positive and negative immunolabeling present in the same section (heterogeneity).