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J Clin Pathol 59:564-574 doi:10.1136/jcp.2005.029652
  • My approach

My approach to the diagnosis of mesothelial lesions

Table 2

 Expected immunohistochemical and histochemical staining reactions in epithelioid malignant mesothelioma and adenocarcinoma

Marker/stain Mesothelioma Adenocarcinoma
+, positive; −, negative.
*Positive in a small proportion of non-pulmonary adenocarcinomas.
†Nuclear staining in pulmonary adenocarcinoma and thyroid carcinoma.
‡Positive in some renal, ovarian and endometrioid carcinomas.
§Positive in most renal and urothelial carcinomas.
CEA, Monoclonal carcinoembryonic antigen; TTF-1 thyroid transcription factor-1; WT1, Wilms tumour gene 1; PAS-D, periodic acid-Schiff-D.
Pan-cytokeratin + +
Cytokeratin 5/6 + −*
Calretinin +
CEA +
B72.3 +
TTF-1 +†
Ber-EP4 +
D2-40 +
WT1 + −‡
Thrombomodulin + −§
MOC-31 +
BG-8 +
CD15 (Leu-M1) +
Periodic acid-Schiff without diastase + or − +
Periodic acid-Schiff with diastase (PAS-D) +
Alcian blue + +/−
Alcian blue with hyaluronidase If + without digestion, remains + after digestion

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