Abstract
Immunohistological methods were used to investigate the presence of carcinoembryonic antigen, beta 1 pregnancy specific glycoprotein, beta subunit of human chorionic gonadotrophin, human placental lactogen, calcitonin, and keratin in formalin fixed tissue from 29 malignant mesotheliomas and 27 pulmonary adenocarcinomas. Malignant mesotheliomas were negative for tumour markers except for the beta subunit of human chorionic gonadotrophin and keratin, one and 13 cases respectively being positive for these. Pulmonary adenocarcinomas, however, were frequently positive for tumour markers--namely, carcinoembryonic antigen, beta 1 pregnancy specific glycoprotein, beta subunit of human chorionic gonadotrophin, human placental lactogen, calcitonin, and keratin. The presence of carcinoembryonic antigen and beta 1 pregnancy specific glycoprotein within an intrathoracic tumour is strong evidence against its being of mesothelial origin.
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Selected References
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- Cooney T., Sweeney E. C., Luke D. Pulmonary carcinoid tumours: a comparative regional study. J Clin Pathol. 1979 Nov;32(11):1100–1109. doi: 10.1136/jcp.32.11.1100. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Corson J. M., Pinkus G. S. Mesothelioma: profile of keratin proteins and carcinoembryonic antigen: an immunoperoxidase study of 20 cases and comparison with pulmonary adenocarcinomas. Am J Pathol. 1982 Jul;108(1):80–88. [PMC free article] [PubMed] [Google Scholar]
- Espinoza C. G., Azar H. A. Immunohistochemical localization of keratin-type proteins in epithelial neoplasms. Correlation with electron microscopic findings. Am J Clin Pathol. 1982 Oct;78(4):500–507. doi: 10.1093/ajcp/78.4.500. [DOI] [PubMed] [Google Scholar]
- Gibbs A. R., Johnson N. F., Giddings J. C., Powell D. E., Jasani B. Primary angiosarcoma of the mediastinum: light and electron microscopic demonstration of Factor VIII-related antigen in neoplastic cells. Hum Pathol. 1984 Jul;15(7):687–691. doi: 10.1016/s0046-8177(84)80296-8. [DOI] [PubMed] [Google Scholar]
- Gropp C., Havemann K., Scheuer A. Ectopic hormones in lung cancer patients at diagnosis and during therapy. Cancer. 1980 Jul 15;46(2):347–354. doi: 10.1002/1097-0142(19800715)46:2<347::aid-cncr2820460223>3.0.co;2-s. [DOI] [PubMed] [Google Scholar]
- Grudzinskas J. G., Coombes R. C., Ratcliffe J. G., Gordon Y. B., Powles T. J., Neville A. M., Chard T. Circulating levels of pregnancy specific beta 1 glycopretein in patients with testicular, bronchogenic and breast carcinomas. Cancer. 1980 Jan 1;45(1):102–103. doi: 10.1002/1097-0142(19800101)45:1<102::aid-cncr2820450118>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
- Harach H. R., Skinner M., Gibbs A. R. Biological markers in human lung carcinoma: an immunopathological study of six antigens. Thorax. 1983 Dec;38(12):937–941. doi: 10.1136/thx.38.12.937. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harwood T. R., Gracey D. R., Yokoo H. Pseudomesotheliomatous carcinoma of the lung. A variant of peripheral lung cancer. Am J Clin Pathol. 1976 Feb;65(2):159–167. doi: 10.1093/ajcp/65.2.159. [DOI] [PubMed] [Google Scholar]
- Horne C. H., Nisbet A. D. Pregnancy proteins: a review. Invest Cell Pathol. 1979 Jul-Sep;2(3):217–231. [PubMed] [Google Scholar]
- Jasani B., Thomas D. W., Williams E. D. Use of monoclonal antihapten antibodies for immunolocalisation of tissue antigens. J Clin Pathol. 1981 Sep;34(9):1000–1002. doi: 10.1136/jcp.34.9.1000. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Milhaud G., Calmette C., Taboulet J., Julienne A., Moukhtar M. S. Letter: Hypersecretion of calcitonin in neoplastic conditions. Lancet. 1974 Mar 16;1(7855):462–463. doi: 10.1016/s0140-6736(74)92428-3. [DOI] [PubMed] [Google Scholar]
- Nagle R. B., McDaniel K. M., Clark V. A., Payne C. M. The use of antikeratin antibodies in the diagnosis of human neoplasms. Am J Clin Pathol. 1983 Apr;79(4):458–466. doi: 10.1093/ajcp/79.4.458. [DOI] [PubMed] [Google Scholar]
- Pascal R. R., Mesa-Tejada R., Bennett S. J., Garces A., Fenoglio C. M. Carcinoembryonic antigen: immunohistologic identification in invasive and intraepithelial carcinomas of the lung. Arch Pathol Lab Med. 1977 Nov;101(11):568–571. [PubMed] [Google Scholar]
- Placental proteins and their subunits as tumor markers. Ann Intern Med. 1975 Jan;82(1):71–83. doi: 10.7326/0003-4819-82-1-71. [DOI] [PubMed] [Google Scholar]
- Ramaekers F., Puts J., Moesker O., Kant A., Jap P., Vooijs P. Demonstration of keratin in human adenocarcinomas. Am J Pathol. 1983 May;111(2):213–223. [PMC free article] [PubMed] [Google Scholar]
- Said J. W., Nash G., Tepper G., Banks-Schlegel S. Keratin proteins and carcinoembryonic antigen in lung carcinoma: an immunoperoxidase study of fifty-four cases, with ultrastructural correlations. Hum Pathol. 1983 Jan;14(1):70–76. doi: 10.1016/s0046-8177(83)80048-3. [DOI] [PubMed] [Google Scholar]
- Schlegel R., Banks-Schlegel S., McLeod J. A., Pinkus G. S. Immunoperoxidase localization of keratin in human neoplasms: a preliminary survey. Am J Pathol. 1980 Oct;101(1):41–49. [PMC free article] [PubMed] [Google Scholar]
- Silva O. L., Broder L. E., Doppman J. L., Snider R. H., Moore C. F., Cohen M. H., Becker K. L. Calcitonin as a marker for bronchogenic cancer: a prospective study. Cancer. 1979 Aug;44(2):680–684. doi: 10.1002/1097-0142(197908)44:2<680::aid-cncr2820440240>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
- WAGNER J. C., MUNDAY D. E., HARINGTON J. S. Histochemical demonstration of hyaluronic acid in pleural mesotheliomas. J Pathol Bacteriol. 1962 Jul;84:73–78. doi: 10.1002/path.1700840109. [DOI] [PubMed] [Google Scholar]
- Walker R. A. Biological markers in human breast carcinoma. J Pathol. 1982 Jun;137(2):109–117. doi: 10.1002/path.1711370204. [DOI] [PubMed] [Google Scholar]
- Walts A. E., Said J. W., Banks-Schlegel S. Keratin and carcinoembryonic antigen in exfoliated mesothelial and malignant cells: an immunoperoxidase study. Am J Clin Pathol. 1983 Nov;80(5):671–676. doi: 10.1093/ajcp/80.5.671. [DOI] [PubMed] [Google Scholar]
- Wang N. S. Electron microscopy in the diagnosis of pleural mesotheliomas. Cancer. 1973 May;31(5):1046–1054. doi: 10.1002/1097-0142(197305)31:5<1046::aid-cncr2820310502>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
- Wang N. S., Huang S. N., Gold P. Absence of carcinoembryonic antigen-like material in mesothelioma: an immunohistochemical differentiation from other lung cancers. Cancer. 1979 Sep;44(3):937–943. doi: 10.1002/1097-0142(197909)44:3<937::aid-cncr2820440322>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]
- Whitaker D., Shilkin K. B. Diagnosis of pleural malignant mesothelioma in life--a practical approach. J Pathol. 1984 Jul;143(3):147–175. doi: 10.1002/path.1711430303. [DOI] [PubMed] [Google Scholar]
- Whitaker D., Sterrett G. F., Shilkin K. B. Detection of tissue CEA-like substance as an aid in the differential diagnosis of malignant mesothelioma. Pathology. 1982 Jul;14(3):255–258. doi: 10.3109/00313028209061373. [DOI] [PubMed] [Google Scholar]
- Wilson T. S., McDowell E. M., McIntire K. R., Trump B. F. Elaboration of human chorionic gonadotropin by lung tumors: an immunocytochemical study. Arch Pathol Lab Med. 1981 Apr;105(4):169–173. [PubMed] [Google Scholar]
- van Muijen G. N., Ruiter D. J., Ponec M., Huiskens-van der, Mey C., Warnaar S. O. Monoclonal antibodies with different specificities against cytokeratins. An immunohistochemical study of normal tissues and tumors. Am J Pathol. 1984 Jan;114(1):9–17. [PMC free article] [PubMed] [Google Scholar]