Friday 22 January 2010
Numerous immunohistochemical/cytochemical reports use various antibodies in effusion samples, and most antibodies differentiate metastatic adenocarcinoma from malignant mesothelioma, but no antibodies help distinguish malignant mesothelioma from reactive mesothelial cells.
IMP3/L523S has been identified in several human malignant tumors.
IMP3 immunoreactivity is observed in 5.1% of reactive mesothelial cells, 72.6% of malignant effusion, 36.4% of malignant mesothelioma, 75.7% of metastatic adenocarcinoma, and 100% of squamous cell carcinoma.
The overall specificity for the diagnosis of malignancy was 94.9%, whereas the sensitivity was 72.6%.
In the peritoneal effusions, the sensitivity for the diagnosis of metastatic adenocarcinoma to distinguish reactive mesothelial cells was 92.3%.
However, the IMP3 antibody is a highly specific marker for malignant lesions, and thus, IMP3 staining is useful for distinguishing neoplastic cells from reactive mesothelial cells in effusion samples.
IMP3/L523S, a novel immunocytochemical marker that distinguishes benign and malignant cells: the expression profiles of IMP3/L523S in effusion cytology. Ikeda K, Tate G, Suzuki T, Kitamura T, Mitsuya T. Hum Pathol. 2010 Jan 6. PMID: 20060157