TABLE 5.
Adrenocortical Immunocytochemical Findings*
Vimentin
|
Synaptophysin
|
Inhibin-A
|
Melan A
|
CD56
|
MIB-1
|
|||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Patient | Hyperplasia and Nodules | Atrophy | Hyperplasia and Nodules | Atrophy | Hyperplasia and Nodules | Atropy | Hyperplasia and Nodules | Atropy | Hyperplasia and Nodules | Atrophy | Hyperplasia and Nodules | Atropy |
1 | 3+, outer cortex, fine gran | Neg | 2+, cyto body | Neg | 3+, fine gran | Superficial : neg. Deep: 1+ | 3+, coarse gran | Neg to 1+, fine gran | Neg | 1+, cell membrane, fine gran | Occ stained nuclei | Many stained nuclei |
2 | 3+, fine gran | Neg | 3+, large cyto body | 1+, outer | 3+2 2+, coarse grain |
1+, deep, cell membrane | 3+, fine gran | 1+, fine gran | 1+, patchy, cell membrane | 3+, cell membrane | Occ stained nuclei | Occ stained nuclei |
3 | 3+, patchy, cell membrane and cyto body, fine gran | Occ cells + | 3+, patchy, fine gran, cell membrane and cyto body | Neg | 3+ to 2+, coarse gran | Neg | 3+, coarse bran | 2+ to 1+, fine gran | 1+, cell membrane, patchy to neg | 3+, cell membrane | 1+ | 2+ to neg |
5 | Neg | Neg | 3+, fine gran, cell membrane and cyto body | Neg to 1+ | 3+ to 2+, fine and coarse gran | Neg to 1+ | 2+ to 1+, patchy, fine and coarse gran | Neg | 1+, subcapsular | 2+, cell membrane, coarse gran, focal | NA | NA |
8 | 3+, patchy, fine and coarse gran | Neg | 3+, cell membrane and cyto body, fine gran | Neg | 3+ to +2, coarse gran | Neg | 1+, fine gran | Neg | Neg | 3+, cell membrane, cyto, fine gran | 1+ | 1+ |
10 | 3+, coarse gran | Neg | 1+, cell membrane and cyto body, fine gran | Neg | 3+, coarse gran | Neg | 3+ to 2+, coarse gran | Neg | Neg | 3+, cell membrane, fine gran | 1+ | 1+ |
Cyto indicates cytoplasmic; gran, granularity; NA, not available; occ, occasional.
Patients 1,2, 3, 5, and 8 had Cushing syndrome and McCune-Albright syndrome. Patient 10 had Cushing syndrome but not McCune-Albright syndrome.
Staining, negative 3+, heavy ; 2+, moderate; 1+, light.