Table 2.
Lesion | No. of cases | C4.4A | Haldisin | CK1/10 | CK5/14 |
---|---|---|---|---|---|
Actinic keratosis
Precursor lesion of squamous cell carcinoma mostly through carcinoma in situ |
5 | 5/5: No alteration | 4/5: Sites with loss of or attenuated expression | 5/5: Complete loss or attenuated expression | 5/5: Expression confined to basal and suprabasal layers. |
Keratoacanthoma
In early stage infiltrating, despite being a benign lesion |
7 | 4/7: Attenuated expression in core and high expression in invasive front | 7/7: Sustained expression in differentiated layers | 7/7: Sustained expression in most differentiated layers and complete loss or attenuated expression in core | 6/7: Attenuated (CK5: partial loss) expression in core and high expression in invasive front |
Carcinoma in situ
Pre-cancerous |
5 | 3/5: Attenuated expression in lower suprabasal layers | 4/5: Complete or partial loss of expression | 3/5: Attenuated or partial loss of expression | 5/5: Expression primarily in the basal layer |
Basal cell carcinoma
Malignant tumor Low metastatic risk 1 keratotic, 1 nodular, 1 nodular/cystic, 3 superficial |
6 | 5/6: Tumor islands with expression. Four of the cases have overlapping CK1 expression | 6/6: Negative tumor 1/6: Weak expression in a few cells around keratin pearls |
5/6: CK1 expression in tumor islands 1/6: CK10 expression in tumor islands |
6/6: Expression in tumor cells |
Squamous cell carcinoma
Malignant tumor Low metastatic risk |
6 | 4/6: Attenuated expression in tumor core and recovery of high expression in the invasive front | 6/6: Loss of expression and only expression in differentiated cells often surrounding keratin pearls | 6/6: Loss of expression or expression in a few single cancer cells or tumor cell islands often surrounding keratin pearls | 5/6: Attenuated (CK5: partial loss) expression in tumor core and recovery of high expression in the invasive front |
Normal nevi | 7 | 7/7: Negative (3 cases were examined by ISH) | 7/7: Negative | ND | ND |
Malignant melanoma
High metastatic risk 5 superficial spreading 4 lentigo maligna 4 nodular 3 desmoplastic |
16 | 12/16: Negative tumor 4/16: Very weak expression in minor parts of the tumor of 2 superficial spreading and 2 nodular malignant melanomas (5 superficial and 1 nodular malignant melanoma were examined by ISH) |
16/16: Negative tumor | ND | ND |
Metastases from melanomas | 5 | 5/5: Negative (4 cases were examined by ISH) | 5/5: Negative | ND | ND |
Tissue sections of precursor and invasive lesions were stained for C4.4A, Haldisin, CK1, CK10, CK5 and CK14. The lesion type, the number of examined cases as well as a description of the main findings are listed in the table. The numbers of cases with the described staining patterns are indicated. ISH, in situ hybridization.