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J Clin Pathol 61:1153-1159 doi:10.1136/jcp.2008.057828
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Revision 2: an immunohistochemical approach and evaluation of solid pseudopapillary tumour of the pancreas

Table 1 Common immunohistochemical panel of antibodies for solid pseudopapillary tumour (SPT) and its mimics
Antibody SPT PET ACC RCC MM
CD56 Focally positive in up to 100% Positive in 25–50% Positive Positive Positive
CD10 Positive in 80% Positive in up to 10% Positive Positive Positive
PR Positive Positive Positive Negative Positive
Synaptophysin Positive in up to 70% Positive 100% Positive Negative Negative
β-Catenin Nuclear/cytopositivity 100% Nuclear/cytopositivity in rare cases ? ? ?
E-cadherin Nuclear* 100% Nuclear* 30% ? Nuclear* 50%—clear cell variant only Nuclear not described
Loss of membrane staining 100% Retention of membrane staining 95–100% Retention of membrane staining in majority Occasional membrane loss
  • *Nuclear immunoreactivity with the antibody to the cytoplasmic domain of E-cadherin.

  • ACC, acinar cell carcinoma; cyto, cytoplasmic; MM, malignant melanoma; PET, pancreatic endocrine tumour; RCC, renal cell carcinoma.

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