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J Clin Pathol 56:892-897 doi:10.1136/jcp.56.12.892
  • Review

α-Methylacyl CoA racemase (P504S): overview and potential uses in diagnostic pathology as applied to prostate needle biopsies

Table 2

α-Methylacyl CoA racemase (AMACR/P504S) immunohistochemical staining of prostate needle biopsies: summary of published data

First author Antibody used Number of biopsies (malignant/benign) Malignant foci with positive staining Benign foci with positive staining*
*Includes normal, hyperplastic, and atrophic glandular epithelium and excludes high grade prostatic intraepithelial neoplasia; †7 biopsies with foci of adenocarcinoma <1 mm in maximum dimension; all 7 showed positive AMACR/P504S staining; ‡26/70 biopsies had foci of adenocarcinoma requiring 34βE12 to support a malignant diagnosis; §all 73 biopsies had foci of adenocarcinoma <1 mm in maximum dimension supported by confirmatory 34βE12 staining.
Jiang21 Rabbit monoclonal anti-P504S (Abgenix Biopharma, Vancouver, Canada) 112 (58/54) 58/58† 8/54
Rubin8 Polyclonal anti-AMACR (gift from Dr R Wanders) 94 (70/24) 68/70‡ 0/24
Jiang18 Rabbit monoclonal anti-P504S 142 (73§/69) 69/73 (95%) 0/69 (0%)
Beach19 Rabbit monoclonal anti-P504S (clone 13H4) 376 (186,190) 153/186 (82%) 81/377 (21%)

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