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Immunohistochemical stains are crucial for determining the primary site of origin for metastatic tumors and for characterizing tumors that are difficult to classify. They can provide prognostic and predictive value in diagnosing various cancers.
Stain | Target | Tumors Identified |
---|---|---|
Chromogranin and Synaptophysin | Neuroendocrine cells | Small cell carcinoma of the lung, carcinoid tumor |
Cytokeratin | Epithelial cells | Epithelial tumors (e.g., squamous cell carcinoma) |
DesMin | Muscle | Muscle tumors (e.g., rhabdomyosarcoma) |
GFAP | Glial cells (e.g., astrocytes, Schwann cells, oligodendrocytes) | Astrocytoma, Glioblastoma |
Neurofilament | Neurons | Neuronal tumors (e.g., neuroblastoma) |
PSA | Prostatic epithelium | Prostate cancer |
S-100 | Neural crest cells | Melanoma, Schwannoma, Langerhans cell histiocytosis |
TRAP | Tartrate-resistant acid phosphatase | Hairy cell leukemia |
Vimentin | Mesenchymal tissue (e.g., fibroblasts, endothelial cells, macrophages) | Mesenchymal tumors (e.g., sarcoma), and other tumors (e.g., endometrial carcinoma, renal cell carcinoma, meningioma) |