Carcinomas Immunophenotyping using IHC

Carcinomas Group 1

CARCINOMAS

CK Cocktail CK7 CK20 CK, LMW CK, HMW CK5 p63 Vimentin TTF-1 Thyro
globulin
GCDFP-15 ER/PR CEA
(poly)
CDX-2 Villin Hep
Par1
RCC CD10 Beta
Catenin
A-1
Antitrypsin
Hepatocellular Carcinoma

–

–

–

–

–

–

–

–

+

–

–

–

+

–

–

+

–

+

–

+/-

Renal Cell Carcinoma

+

–

–

+

–

–

–

+

–

–

–

–

–

–

–

–

+

+

–

+

Bladder Adenocarcinoma + + +/- + + – – – – – – –   + + – –   + –
Salivary Gland Carcinoma + + – + + + + –   – – – + – – – –   – –
Thyroid Carcinoma + + – +   – – + + + – – – – – – –   – –
Breast Carcinoma + + – + + – – – – + + +/- – – – – – + – –
Lung Adenocarcinoma + + – + + – – – + – – – + – – – –   – –
Colorectal Adenocarcinoma + – + + – – – – – – – – + + + – – + + –
Prostatic Adenocarcinoma + – – + – – – – – – – – – – – – – + – –
Transitional Cell Carcinoma + + + + + + + – – – – – – – – – – + – –
Ovarian Carcinoma, Non Mucinous + + – + + + – – – – – + – – – – – – – –
Cervical Carcinoma + + – –   – – – – – – – + – – – –   – –
Sweat Gland Carcinoma + + –     + + –   – – – + – – – –   – –
Pancreatic Carcinoma + + – + +/- – – – – – – – + – – – – +/- – –
Gastric Carcinoma + + –     – – – – – – – + + + – –   – –
Squamous Cell Carcinoma + – – + + + + – – – – – – – – – – – – –
Endometrial Adenocarcinoma + + – +       + – – – + – – – – –   + –
Carcinomas Group 2
CARCINOMAS CK7 CK20 CDX-2 Villin TTF-1 Napsin A PSA/PSAP Caveolin-1 Mammaglobin GCDFP-15
Breast Carcinoma + – – – – – – + + +  
Lung Adenocarcinoma + – – – + + – – – –  
Transitional Cell (Bladder) Carcinoma + + – – – – – – – –  
Colorectal Adenocarcinoma – + + + – – – + – –  
Prostatic Adenocarcinoma – – – – – – + +/- – –  
Squamous vs Transitional Carcinomas
CARCINOMAS CK,34bE12 p63 CK5 Thrombomodulin CK7 CK20 Uroplakin III COX-2
Squamous Carcinoma + + + + – – – –
Transitional Cell Carcinoma + + -/+ + + + + +
Small Cell vs Merkel Cell Carcinomas
CARCINOMAS TTF-1 CEA CK20 Chromogranin A E-Cadherin (nuclear) Neurofilament CD117 Synaptophysin
Merkel Cell Carcinoma – – + + + + + +
Small Cell Carcinoma + – – – – – +/- +
Cutaneous Neoplasms
CARCINOMAS CD10 Androgen Receptor CK20 CD34 Ber-EP4 bcl-2 CK19
Basal Cell Carcinoma + + – – + + +
Trichoepithelioma – – + + + + +
Merkel Cell Carcinoma – – + – + + +
Microcystic Adnexal Carcinoma +/- – – – -/+ +  
Sebaceous Carcinoma +/- + – – + +/- –
Sebaceous Adenoma – + – – + + –
Carcinomas: Differential Diagnosis
CARCINOMAS Androgen Receptor BCA-225 GDDFP-15 ER/PR Mammaglobin Ny-BR-1 PSA/PSAP CD44
Salivary Duct Carcinoma + + + – – – – –
Breast Carcinoma +(aprocrine) + + +/- + + – +
Prostate Carcinoma (nuclear) + – – – – – + +
Prostate Lesions
CARCINOMAS PSA/PSAP P504s CK, 34bE12 p63 CK7 Thrombomodulin Uroplakin III PAX-2
Prostate Carcinoma + + – – – – – –
Urothelial Carcinoma – – + + + + + –
Nephrogenic Adenoma – + +/- – + – – +
Lung Carcinomas
CARCINOMAS CD56 Chromogranin A Synaptophysin CK7 Napsin A p63 TTF-1 BG8 GLUT-1
Small Cell Carcinoma + -/+ +/- – – – + + –
Adenocarcinoma – – – + + – + + +/-
Squamous Cell Carcinoma – – – – – + – + +
Large Cell Neuroendocrine Carcinoma + + + +/- – – +/-    
Colon vs Ovarian Carcinoma
CARCINOMAS CK7 CK20 CEA CDX-2 Villin CA19-9 Ep-CAM WT1 CA-125 CK5/6 PAX-8
Ovarian Carcinoma, Serous + – + – + + + + + – +
Ovarian Carcinoma, Mucinous +/- +/- – + + + + – –   –
Ovarian Endometrioid Carcinoma + – – –   +/- + -/+ + – +
Colon Carcinoma – + + + + + + – – – –
Mucin Expression in Neoplasms
CARCINOMAS MUC1 MUC2 MUC5AC MUC6
Pancreatic Adenocarcinoma + – + –
Lung Carcinoma, Signet Ring + – +  
Ovarian Adenocarcinoma + – +  
Gastric Carcinoma – -/+ + -/+
Cervical Adenocarcinoma + – + –
Esophageal Carcinoma + – +  
Paget’s Extramammary + -/+ + –
Cholangiocarcinoma + – +/- –
Salivary Duct Adenocarcinoma – + – +
Colon Carcinoma, Signet Ring – + – –
Prostate Carcinoma – +/- – –
Pancreatic Intraductal Papillary Carcinoma – + + +
HCC – – – –
Adrenocortical Carcinoma – – – –
Breast Carcinoma + – – –
Lung Carcinoma + – –  
Kidney Carcinoma + – –  
Bladder Carcinoma + – –  
Endometrial Carcinoma + – – –
Ovarian Carcinoma, Mucinous + – +  
Renal Cell Carcinoma + – –  
Urothelial Carcinoma + – –  
Appendiceal Adenocarcinoma – + + –
Barrett’s Esophagus + + + –
Pancreatic Mucinous Cystic – – + –
Breast Colloid Carcinoma + + – +
Mucin Expression in Organs
CARCINOMAS MUC1 MUC2 MUC4 MUC5AC MUC6
Stomach + – + + +
Small Intestine – + – – +
Colon – + – –  
Pancreas + – – – +
Ampullary Carcinoma (Enteric vs Ductal)
CARCINOMAS CK17 Hep-Par1 CDX-2
Enteric – + –
Ductal + – -/+
Colon vs Prostate Adenocarcinoma
CARCINOMAS CDX-2 CK20 CEA CA19-9 PSA P504s
Colon Adenocarcinoma + + + + – –
Prostate Adenocarcinoma – – – – + +