Table 3.
Immunohistochemical markers and staining parameters
Marker | Tumor Staining | Notes |
---|---|---|
AE1/AE3 | +++ | Diffuse intense cytoplasmic staining of tumor cells; Adjacent normal gland had strong cytoplasmic staining of ducts and less intense staining of acini. |
p63 | +++ | Diffuse nuclear staining in tumor cells; Adjacent normal gland had nuclear staining in periductular cells and in some cells between acini. |
CK5/6 | ++ | Most tumors (>50%) had cytoplasmic staining that was more readily detected in the spindled tumor population than in the polygonal tumor cells; normal salivary gland had multifocal staining in periductal and less commonly periacinar stromal cells. |
EGFR | ++ | Tumor cells showing patchy to coalescing staining; Adjacent gland had moderate staining in the ducts. |
pEGFR | +/++ | Tumor cells showing patchy to coalescing staining; Adjacent gland had weak multifocal staining in ducts |
GFAP | Rare solitary + | Mostly negative with very rare solitary tumor cell immunostaining; Adjacent tissue had staining in nerves |
cKIT | Neg | Tumor cells were negative; Ducts in adjacent glands had weak staining |
S100 | Neg | Tumor was negative; Adjacent normal tissue had staining in peripheral nerves and moderate staining of salivary gland duct epithelium. |
alpha-SMA | Neg | Negative in tumor cells. |
Scoring of tumor immunostaining: “Neg” - none; “+” rare to 33% of tumor cells; “++” ~34% to 66% of tumor cells; “+++” ~67% to diffuse cellular immunostaining