Differential diagnosis |
Most commonly used biomarkers | ||||||
Breast carcinoma |
GATA3 | Mammaglobin | GCDFP-15 | ER | CK5/6 | CK14 | |
CK8/18 | CK7 | CK20 | |||||
DCIS vs. infiltrating ductal carcinoma |
p40 | Myosin | Calponin | ASMA | CD10 | p40/ Myosin | |
Prognostic/ predictive | ER | PR | HER2 | PD-L1 | Ki67 | ||
Ductal vs. Lobular adenocarcinoma | E-Cadherin | p120 | |||||
Metastatic breast carcinoma in sentinel nodes | CK7/19 | Pan CK | |||||
Triple-negative breast carcinoma | TRPS-1 | ER | PR | HER2 | |||
Atypical ductal hyperplasia vs. Usual ductal hyperplasia |
CK5/6 | CK7 | CK14 | CK18 | |||
Salivary gland type neoplasms |
p40 | CK7 | CK14 | CK8/18 | CD117 | ER | |
PR | Ki67 | GCDFP-15 | Calponin | Myosin | |||
Neuroendocrine neoplasms |
INSM1 | Chromogranin A | Synaptophysin | CD56 | Ki67 | ||
Hematolymphoid neoplasms |
CD45 | CD3 | CD20 | CD10 | BCL6 | EBER | |
PAX5 | BCL2 | ||||||
Mesenchymal neoplasms |
S100 | SOX10 | ERG | CD31 | CD34 | Podoplanin | |
ASMA | Desmin | ||||||
The list above does not include all differential diagnosis and related biomarkers. The bolded are the most commonly used biomarkers |
Myoepithelial Cell Markers (MEC) used in breast pathology:
S100 | Less sensitive and less specific for MEC's | |
SMA | Good staining of MEC's, but substantial staining of myofibroblasts | |
CK5/14 | Good staining of MEC's. Be aware that acinar cells (close proximity to MEC's) are stained as well | |
Calponin | Specific to smooth muscle, but stains high percentage of myofibroblasts (76%) | 22Immunohistochemical distinction of invasive from noninvasive breast lesions: a comparative study of p63 versus calponin and smooth muscle myosin heavy chain. : Am J Surg Pathol. 27:82-90 2003 |
SMMS-1 | Specific to smooth muscle, stains 8% of myofibroblasts | |
p63 | Stains myoepithelium, but sometimes discontinuous epithelial layer, ánd reacts with a subset of breast tumor cells | |
SMMS-1/ p40 | cocktail of these antibodies to easily identify difficult cases |
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