Table 2.
Immunohistochemistry (IHC) tumour staining patterns in the differential diagnosis of CUPs expressing CK7+/CK20− [7].
Primary Site of Origin | Immunostaining Profile |
---|---|
Breast [8,14,15,16,17] | ER+/PgR+, GATA3+, GCDFP15−/+, MGB+/−, TFF1− |
Ovary (serous) [17,18,19,20,21] | PAX8+, ER+, WT1+, TTF1−, TFF3−, GATA3− |
Ovary (clear cell) [17,18,19,20,21] | pVHL+, HNF-1β+, Napsin A+, AFP−, WT1−, ER−, GPC3− |
Endometrium [17,18,19,20,21] | ER+, PAX8+, Vimentin+ |
Uterine cervix [17,18,19,20,21] | p16+, HPV+, CEA+, PR−, PAX2−, PAX8+/− |
Lung [22,23,24] | TTF1+, Napsin A+, GATA3− |
Thyroid (papillary/follicular) [23,24,25] | TTF1+, Thyroglobulin+, PAX8+ |
Thyroid (medullary) [23,24,25] | TTF1+, Calcitonin+, CEA+ |
Stomach [26,27,28,29] | CEA+, CDX2−/+, MUC1−/+, MUC5AC−/+, CDH17+/−, TTF1− |
Oesophagus [26,27,28,29] | CDX2+/−, CEA+, CDH17+, MUC1−/+, MUC5AC−/+, SATB2− |
Pancreas [26,27,28,29] | DPC4−/+, CK17+/−, pVHL−, Maspin+, S100P+, MUC5AC+ |
Urinary bladder [17,18,19,20,21] | GATA3+, p63+, CK5/6+, p40+, S100P+, CK903+, UPII+/− |
Thymus [19,20,21] | CD5+/−, p63+/−, PAX8+/−, CD117+/−, Glut1+/− |
Salivary (ductal) [16,17,30] | GATA3+, AR+, GCDFP-15+ |
Mesothelioma [30,31,32,33,34] | Calretinin+, WT1+, CK5/6+, TTF1−, CEA−, BerP4− |
Abbreviations: AR, androgen receptor; calretinin; AFP, α-fetoprotein; CD5, cluster of differentiation 5; CDH17, cadherin-17; CDX2, caudal type homeobox 2; CEA, carcinoembryonic antigen; CK, cytokeratin; D2-40, podoplanin; DPC4, SMAD family member 4; ER, oestrogen receptor; GATA3, GATA binding protein 3; GCDFP-15, gross cystic disease fluid protein 15; HNF-1b, hepatocyte nuclear factor 1b; HPV, human papillomavirus; MGB, mammaglobin; MUC, mucin; PAX, paired box gene; CEA, carcinoembryonic antigen; PgR, progesterone receptor; pVHL, von Hippel-Lindau tumour suppressor; S100P, placental S100; TFF, trefoil factor; TFF3, trefoil factor 3; TM, thrombomodulin; TTF1, thyroid transcription factor 1; UPII, uroplakin II; WT1, Wilms tumour 1.