The diagnostic value of TTF-1, CK 5/6, and p63 immunostaining in classification of lung carcinomas
APPLIED IMMUNOHISTOCHEMISTRY & MOLECULAR MORPHOLOGY
Authors: Kargi, Aydanur; Gurel, Duygu; Tuna, Burcin
Abstract
This study was aimed to evaluate the utility of a panel of antibodies, consisting of thyroid transcription factor-1 (TTF1), p63, and cytokeratins (CK) 5/6 for distinguishing between small cell lung carcinoma (SCLC) and nonsmall cell lung carcinoma, as well as for identifying glandular or squamous differentiation in small tissues obtained by bronchoscopy. Bronchoscopic biopsies of 77 lung carcinoma cases with easily recognizable morphologic features were included in this study. All the cases were immunohistochemically stained for p63, CK5/6 [indicators of squamous cell carcinoma (SCC)] and TTF-1 [indicator of SCLC and adenocarcinoma (AC). Although, 28 SCLC displayed TTF-1 positive, p63 negative immunoprofile, most of the SCC (32/39) had the opposite immunoprofile. All of the 10 ACs were negative for p63 and most of them (8/10) were negative for CK-5/6. p63 and CK 5/6 seem to be useful for differentiating AC and SCLC from SCC with 100% specificity and 82% sensitivity, 89% specificity and 79% sensitivity, respectively. It seems that to achieve histologic typing of lung cancer as accurate as possible, TTF-1 in combination with p63 and CK 5/6 might be useful components of immunohistochemical analysis of poorly differentiated lung carcinomas in biopsy tissues.
Interstitial lung disease of infancy caused by a new NKX2-1 mutation
CLINICAL CASE REPORTS
Authors: Safi, Khalid H.; Bernat, John A.; Keegan, Catherine E.; Ahmad, Ayesha; Hershenson, Marc B.; Arteta, Manuel
Abstract
Patients with personal or family history of congenital hypothyroidism, and/or neurological findings that also have chronic respiratory symptoms may have a mutation in the NKX2.1 gene as the unifying cause of their disease. Brain-lung thyroid disease is the ensuing condition, which although rare, needs to be part of the differential diagnosis.