Arginase-1: A novel immunohistochemical marker of hepatocellular differentiation in fine needle aspiration cytology †‡§

作者: Ryan McKnight , Aziza Nassar , Cynthia Cohen , Momin T. Siddiqui

DOI: 10.1002/CNCY.21184

关键词:

摘要: BACKGROUND: Arginase-I is a key urea cycle metalloenzyme that has been used as an immunohistochemistry (IHC) marker for hepatocellular carcinoma (HCC). Previous studies have demonstrated the efficacy of HepPar-1 and glypican-3 (GPC-3) IHC in liver fine needle aspiration (FNA) cytology. METHODS: Arginase-1 was performed on FNA cell blocks, its performance characteristics were compared with GPC-3. Ninety-two formalin-fixed, paraffin-embedded blocks selected (HCC [n = 44], cirrhosis 2], focal nodular hyperplasia 3], hepatic adenomas dysplastic nodules 6], metastatic carcinomas 35]). staining antibodies directed against arginase-1, HepPar-1, GPC-3 appropriate positive negative controls. RESULTS: Arginase-1 positivity 37 44 (84.1%) cases HCC, 32 (72.7%) 25 (56.8%) GPC-3, respectively. Arginase-1 expression not observed any (0%), whereas present 1 case carcinoma. In addition, both arginase-1 all 13 (100%) nonmalignant lesions, absent (0%). CONCLUSION: This study demonstrates are effective markers differentiation. Furthermore, superior sensitivity diagnosis specificity, benign lesions. Hence, use can aid HCC separating from Cancer (Cancer Cytopathol) 2012. © 2012 American Society.

参考文章(14)
Stacey E Mills, Darryl Carter, Joel K Greenson, Victor E Reuter, Mark H Stoler, Sternberg's Diagnostic Surgical Pathology ,(2012)
Alexandre Sherlley Casimiro Onofre, Natalia Pomjanski, Birgit Buckstegge, Alfred Böcking, Immunocytochemical Diagnosis of Hepatocellular Carcinoma and Identification of Carcinomas of Unknown Primary Metastatic to the Liver on Fine-Needle Aspiration Cytologies Cancer. ,vol. 111, pp. 259- 268 ,(2007) , 10.1002/CNCR.22768
Hashem B. El-Serag, Epidemiology of hepatocellular carcinoma. Clinics in Liver Disease. ,vol. 5, pp. 87- 107 ,(2001) , 10.1016/S1089-3261(05)70155-0
ZW Zhu, H Friess, L Wang, M Abou-Shady, A Zimmermann, AD Lander, M Korc, J Kleeff, MW Büchler, Enhanced glypican-3 expression differentiates the majority of hepatocellular carcinomas from benign hepatic disorders Gut. ,vol. 48, pp. 558- 564 ,(2001) , 10.1136/GUT.48.4.558
Robert L. Zimmerman, Melissa A. Burke, Nancy A. Young, Charalambos C. Solomides, Marluce Bibbo, Diagnostic value of hepatocyte paraffin 1 antibody to discriminate hepatocellular carcinoma from metastatic carcinoma in fine-needle aspiration biopsies of the liver. Cancer. ,vol. 93, pp. 288- 291 ,(2001) , 10.1002/CNCR.9043
Benjamin C. Yan, Can Gong, Jie Song, Thomas Krausz, Maria Tretiakova, Elizabeth Hyjek, Hikmat Al-Ahmadie, Venancio Alves, Shu-Yuan Xiao, Robert A. Anders, John A. Hart, Arginase-1: a new immunohistochemical marker of hepatocytes and hepatocellular neoplasms. The American Journal of Surgical Pathology. ,vol. 34, pp. 1147- 1154 ,(2010) , 10.1097/PAS.0B013E3181E5DFFA
Sungyoung Choi, Changnam Park, Meejung Ahn, Jun Hwa Lee, Taekyun Shin, Immunohistochemical study of arginase 1 and 2 in various tissues of rats Acta Histochemica. ,vol. 114, pp. 487- 494 ,(2012) , 10.1016/J.ACTHIS.2011.09.002