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Immunohistochemical Markers of Yolk Sac Tumors

  • Chapter
The Human Yolk Sac and Yolk Sac Tumors

Abstract

Teilum’s pioneering studies established yolk sac tumors (endodermal sinus tumors) as a separate entity of human germ cell tumors. His comparative studies, stretching over almost 3 decades, formed the basis of our understanding of its various morphological types and clinical behavior resulting in the still widely used eponym Teilum’s tumor (for review see Teilum 1976). His interpretation of this subtype of embryonal carcinoma as one recapitulating early differentiation toward the yolk sac derivatives was strongly supported by the experimental studies on the developmental biology of rodent yolk sac and its neoplasms by Pierce (see Chap. 12, this volume). For the sake of the arguments forming the title theme of this chapter it may be noted that immunohistochemical techniques introduced by Coons a few years earlier were already used by Pierce and his collaborators (including Joseph Feldman, later the long-time editor-in-chief of Journal of Immunology) to show that the characteristic hyaline in the PAS-positive globules of yolk sac tumors was antigenically related to the hyaline of Reichert’s membrane and produced by the parietal yolk sac cells, thus supporting a yolk sac origin for these tumors (Pierce et al. 1962).

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References

  • Abelev GI (1963) Study of the antigenic structure of tumors. Acta Un Int Cancer 19:80–92.

    CAS  Google Scholar 

  • Albrechtsen R, Wewer U, Wimberley PD (1980) Immunohistochemical demonstration of a hitherto undescribed localization of hemoglobin A and F in endodermal cells of normal human yolk sac and endodermal sinus tumor. Acta Pathol Microbiol Scand [A] 88:175–178.

    CAS  Google Scholar 

  • Alpert ME, Uriel J, Nechaud B de (1968) Alpha-1 fetoglobulin in the diagnosis of human hepatoma. N Engl J Med 278:984–986.

    Article  PubMed  CAS  Google Scholar 

  • Amenta PS, Clark CC, Martinez-Hernandez A (1983) Deposition of fibronectin and laminin in the basement membrane of the rat parietal yolk sac: immunohistochemical and biosynthetic studies. J Cell Biol 96:104–111.

    Article  PubMed  CAS  Google Scholar 

  • Ballas M (1972) Yolk sac carcinoma of the ovary with alpha fetoprotein in serum and ascitic fluid demonstrated by immunoosmophoresis. Am J Clin Pathol 57:511–516.

    PubMed  CAS  Google Scholar 

  • Battifora H, Sheibani K, Tubbs RR, Kopinski MI, Sun TT (1984) Antikeratin antibodies in tumor diagnosis. Distinction between seminoma and embryonal carcinoma. Cancer 54:843–848.

    Article  PubMed  CAS  Google Scholar 

  • Bergstrand CG, Czar B (1956) Demonstration of a new protein fraction in serum from human fetus. Scand J Clin Lab Invest 8:174–178.

    Article  PubMed  CAS  Google Scholar 

  • Brceborowicz J, Mackiewicz A, Brceborowicz D (1981) Microheterogeneity of alpha-fetoprotein in patient serum as demonstrated by lectin affino-electrophoresis. Scand J Immunol 14:15–20.

    Article  Google Scholar 

  • Burke AP, Mostofi FK (1988) Placental alkaline phosphatase immunohistochemistry of intratubular malignant germ cells and associated testicular germ cell tumors. Hum Pathol 19:663–670.

    Article  PubMed  CAS  Google Scholar 

  • Burtin P (1970) Les protéines specifiques des cancers humains. Nouv Rev Fr Hematol 10:335–338.

    PubMed  CAS  Google Scholar 

  • Cohen MB, Friend DS, Molnar JJ, Talerman A (1987) Gonadal endodermal sinus (yolk sac) tumor with pure intestinal differentiation: a new histologic type. Pathol Res Pract 182:609–616.

    Article  PubMed  CAS  Google Scholar 

  • Curtin JP, Rubin SC, Hoskins WJ, Hakes TB, Lewis JL Jr (1989) Second-look laparotomy in endodermal sinus tumor: a report of two patients with normal levels of alpha-fetoprotein and residual tumor at reexploration. Obstet Gynecol 73:893–895.

    PubMed  CAS  Google Scholar 

  • Damjanov I, Amenta PS, Zarghami F (1984) Transformation of an AFP-positive yolk sac carcinoma into an AFP-negative neoplasm. Evidence for in vivo cloning of the human parietal yolk sac carcinoma. Cancer 53:1902–1907.

    Article  PubMed  CAS  Google Scholar 

  • Damjanov I, Damjanov N, Knowles BB, Engvall E (1985) Origin of laminin in the extracellular matrix of human tumor xenografts in nude mice. Virchows Arch [B] 49:45–52.

    Article  CAS  Google Scholar 

  • Dehner LP, Mills A, Talerman A, Bilman GF, Krous HF, Platz CE (1990) Germ cell neoplasms of head and neck soft tissues: a pathologic spectrum of teratomatous and endodermal sinus tumors. Hum Pathol 21:309–318.

    Article  PubMed  CAS  Google Scholar 

  • Eglen DE, Ulbright TM (1987) The differential diagnosis of yolk sac tumor and seminoma. Usefulness of cytokeratin, alpha-fetoprotein, and alpha-1-antitrypsin immunoperoxidase reactions. Am J Clin Pathol 88:328–332.

    PubMed  CAS  Google Scholar 

  • Gitlin D, Pericelli A (1970) Synthesis of serum albumin, prealbumin, alpha-fetoprotein, alpha-1-antrypsin and transferrin by the human yolk sac. Nature 228:995–997.

    Article  PubMed  CAS  Google Scholar 

  • Gitlin D, Pericelli A, Gitlin G (1972) Synthesis of alpha-fetoprotein by liver, yolk sac and gastrointestinal tract of the human conceptus. Cancer Res 32:979–982.

    PubMed  CAS  Google Scholar 

  • Hogan BLM (1980) High molecular weight extracellular proteins synthesized by endoderm cells derived from mouse teratocarcinoma cells and normal extraembryonic membranes. Dev Biol 76:275–285.

    Article  PubMed  CAS  Google Scholar 

  • Huang SC, Chen HC, Kurman RJ, Yang YS, Wen HK, Hsieh CY, Wei PY, How SW, Chen TY, Ouyang PC (1984) Secretion of human chorionic gonadotropin and alpha-fetoprotein by an ovarian germ cell tumor of apparent yolk sac origin. Gynecol Oncol 18:240–246.

    Article  PubMed  CAS  Google Scholar 

  • Ishiguro T, Sawada M, Sakaguchi H, Sugitachi I (1984) Alpha-fetoprotein subfractions in germ cell tumors identified by Con A or LCH crossed-line affinity immuno-electrophoresis. Am J Reprod Immunol 4:102–105.

    Google Scholar 

  • Ishikura H, Scully RE (1987) Hepatoid carcinoma of the ovary. A newly described tumor. Cancer 60:2775–2784.

    Article  PubMed  CAS  Google Scholar 

  • Itoh T, Shirai T, Naka A, Matsumoto S (1974) Yolk sac tumor and alpha-fetoprotein: clinicopathological study of four cases. Gann 65:215.

    Google Scholar 

  • Joseph MG, Fellows FG, Hearn SA (1990) Primary endodermal sinus tumor of the endometrium. Clinicopathologic, immunocytochemical, and ultrastructural study. Cancer 65:297–302.

    Article  PubMed  CAS  Google Scholar 

  • Kekomäki M, Ekfors TO, Nikkanen V, Vilkki P (1984) Intrepleural endodermal sinus tumor arising from the diaphragm. J Pediatr Surg 19:312–314.

    Article  PubMed  Google Scholar 

  • Kinumaki H, Takeuchi H, Nakamura K, Ohmi K, Bessho F, Kobayashi N (1985) Serum lactate dehydrogenase isoenzyme-1 in children with yolk sac tumor. Cancer 56:178–181.

    Article  PubMed  CAS  Google Scholar 

  • Kitagawa H, Ohkouchi E, Hata J, Tsuchida Y, Fukuda A, Tada T (1986) Monoclonal antibodies with fine specificities distinguishing alpha-fetoproteins of hepatoma and yolk sac tumor origin. Jpn J Cancer Res 77:1012–1017.

    PubMed  CAS  Google Scholar 

  • Klemi P, Meurman L, Grönroos M, Talerman A (1982) Clear cell (mesonephroid) tumors of the ovary with characteristics resembling endodermal sinus tumor. Int J Gynecol Pathol 1:95–100.

    Article  PubMed  CAS  Google Scholar 

  • Kommoss F, Franklin WA, Talerman A (1989) Estrogen and progesterone receptors in endodermal sinus (yolk sac) tumor. Evaluation of immunocytochemical and biochemical methods. J Reprod Med 34:943–945.

    PubMed  CAS  Google Scholar 

  • Krag-Jacobsen G, Jacobsen M, Praetorius-Clausen P (1982) Distribution of tumor-associated antigens in the various histologic components of germ cell tumors of the testis. Am J Surg Pathol 5:257–266.

    Article  Google Scholar 

  • Kurman RJ, Norris HJ (1976a) Embryonal carcinoma of the ovary. A clinicopathologic entity distinct from endodermal sinus tumor resembling embryonal carcinoma of the adult testis. Cancer 28:2420–2433.

    Article  Google Scholar 

  • Kurman RJ, Norris HJ (1976b) Endodermal sinus tumor of the ovary. A clinical and pathologic analysis of 71 cases. Cancer 38:2404–2419.

    Article  PubMed  CAS  Google Scholar 

  • Lindvall ML, Brodin T, Sjögren HO (1987) A rat monoclonal antibody 4D7 produced by a hybridoma established from a yolk-sac tumor-bearing rat binds selectively to the stage-specific embryonic antigen SSEA-1. Int J Cancer 40:94–98.

    Article  PubMed  CAS  Google Scholar 

  • Margo CE, Folberg R, Zimmerman LE, Sesterhenn IA (1983) Endodermal smus tumor (yolk sac tumor) of the orbit. Ophthalmology 90:1426–1432.

    PubMed  CAS  Google Scholar 

  • Mawas C, Kohen M, Kemerle J (1969) Serum alpha 1 fetoprotem (fetuin) in children with malignant ovarian or testicular teratomas. Preliminary results. Int J Cancer 4:76–79.

    Article  PubMed  CAS  Google Scholar 

  • Mazur MT, Talbot WH Jr, Talerman A (1988) Endodermal sinus tumor and mucmous cystadenofibroma of the ovary. Occurrence in an 82-year-old woman. Cancer 62:2011–2015.

    Article  PubMed  CAS  Google Scholar 

  • Miettinen M, Virtanen I, Talerman A (1985a) Intermediate filament proteins in human testis and testicular germ cell tumors. Am J Pathol 120:402–410.

    PubMed  CAS  Google Scholar 

  • Miettinen M, Talerman A, Wahlström T, Astengo-Osuna C, Virtanen I (1985b) Cellular differentiation in ovarian sex cord-stromal and germ-cell tumors studied with antibodies to intermediate filament proteins. Am J Surg Pathol 9:640–651.

    Article  PubMed  CAS  Google Scholar 

  • Miyake M, Hashimoto K, Ito M, Ogawa O, Arai E, Hitomi S, Kannagi R (1990) The abnormal occurrence and the differentiation-dependent distribution of N-acetyl and N-glycolyl species of the ganglioside GM2 in human germ cell tumors. A study with specific monoclonal antibodies. Cancer 65:499–505.

    Article  PubMed  CAS  Google Scholar 

  • Morimoto N, Ozawa M, Amano S (1981) Diagnostic value of hyaline globules in endodermal sinus tumor: report of two cases. Acta Cytol 25:417–420.

    PubMed  CAS  Google Scholar 

  • Motzer RJ, Reuter VE, Cordon-Cardo C, Bosl GJ (1988) Blood group-related antigens in human germ cell tumors. Cancer Res 48:5342–5347.

    PubMed  CAS  Google Scholar 

  • Nakanishi I, Kawahara E, Kajikawa K, Miwa A, Terahata S (1982) Hyaline globules in yolk sac tumor. Histochemical, immunohistochemical and electron microscopic studies. Acta Pathol Jpn 32:733–739.

    PubMed  CAS  Google Scholar 

  • Nakashima N, Sobue M, Fukata S, Fukatsu T, Nagasaka T, Ohiwa N, Nara Y, Lai S, Takeuchi J (1990) Immunohistochemical characterization of extracellular matrix components of yolk sac tumors. Virchows Arch [B] 58:309–315.

    Article  CAS  Google Scholar 

  • Narita T, Moriyama Y, Ito Y (1988) Endodermal sinus (yolk sac) tumour of the liver. A case report and review of the literature. J Pathol 155:41–47.

    Article  PubMed  CAS  Google Scholar 

  • Natori T, Teshima S, Kikuchi Y, Aizawa M, Konno T, Tamaki A, Kakita A, Shinada Y, Kasai Y (1983) Primary yolk sac tumor of the liver. An autopsy case with ultrastructural and immunopathological studies. Acta Pathol Jpn 33:555–564.

    PubMed  CAS  Google Scholar 

  • Nelson E, Stenzel P (1987) Intrapericardial yolk sac tumor in an infant girl. Cancer 60:1567–1569.

    Article  PubMed  CAS  Google Scholar 

  • Neubecker RD, Breen JL (1962) Embryonal carcinoma of the ovary. Cancer 15:546–556.

    Article  PubMed  CAS  Google Scholar 

  • Nishi S, Hirai H (1973) Radioimmunoassay of a-fetoprotein in hepatoma, other liver disease and progrance. Gann Monogr Cancer Res 14:79–88.

    Google Scholar 

  • Nogales FF Jr, Silverberg SG, Bloustein PA, Martinez-Hernandez A, Pierce GB (1977) Yolk sac carcinoma (endodermal sinus tumor). Ultrastructure and histogenesis ot gonadal and extragonadal tumors in comparison with normal human yolk sac. Cancer 39:1462–1474.

    Article  Google Scholar 

  • O’Brien TF, Moinuddin SM (1990) Endodermal sinus tumor of the mediastinum. Cytologic diagnosis on a pleural effusion. Acta Cytol 34:257–260.

    PubMed  Google Scholar 

  • Ohkawa K, Abe T, Tsukada Y, Taketa K, Kimura E, Terashima Y (1989) An improved sensitive assay method for the heterogeneity of alpha-foetoprotem: possible application for early differential diagnosis. J Clin Chem Clin Biochem 27:337–341.

    PubMed  CAS  Google Scholar 

  • Okamoto T (1989) Immunohistochemical differentiation of yolk sac-type alpna-fetoprotein from hepatic-type alpha-fetoprotein. Acta Pathol Jpn 39:51–54.

    PubMed  CAS  Google Scholar 

  • Oldberg A, Hayman EG, Ruoslahti E (1981) Isolation of a chondroitin sulfate proteoglycan from a rat yolk sac tumor and immunochemical demonstration of its cell surface localization. J Biol Chem 256:10847–10852.

    PubMed  CAS  Google Scholar 

  • Palmer PE, Safaii H, Wolfe HJ (1976) Alpha1-antirypsin and alpha-fetoprotein. Am J Clin Pathol 65:575–582.

    PubMed  CAS  Google Scholar 

  • Pedersen KO (1944) Fetuin, a new globulin isolated from serum. Nature 154:575.

    Article  CAS  Google Scholar 

  • Pierce GB Jr, Midgley AR Jr, Sri Ram J, Feldman JD (1962) Parietal yolk sac carcinoma: clue to the histogenesis of Reichert’s membrane of the mouse embryo. Am J Pathol 41:549–557.

    PubMed  Google Scholar 

  • Pileri S, Martinelli G, Serra L, Bazzocchi F (1980) Endodermal sinus tumor arising in the endometrium. Obstet Gynecol 56:391–396.

    PubMed  CAS  Google Scholar 

  • Prat J, Bhan AK, Dickersin GR, Robboy SJ, Scully RE (1982) Hepatoid yolk sac tumor of the ovary (endodermal sinus tumor with hepatoid differentiation): a light microscopic, ultrastructural and immunohistochemical study of seven cases. Cancer 50:2355–2368.

    Article  PubMed  CAS  Google Scholar 

  • Ruohslati E, Adamson ED (1978) Alpha-fetoproteins produced by the yolk sac and the liver are glycosylated differently. Biochem Biophys Res Commun 85:1622–1630.

    Article  Google Scholar 

  • Ruoslahti E, Seppälä M (1971) Studies of carcino-fetal proteins: physical and chemical properties of human a-fetoprotein. Int J Cancer 7:218–225.

    Article  PubMed  CAS  Google Scholar 

  • Ruoslahti E, Jalanko H, Comings DE, Neville AM, Raghavan D (1981) Fibronectin from human germ cell tumors resembles amniotic fluid fibronectin. Int J Cancer 27:763–767.

    Article  PubMed  CAS  Google Scholar 

  • Rutgers JL, Young RH, Scully RE (1987) Ovarian yolk sac tumor arising from an endometrioid carcinoma. Hum Pathol 18:1296–1299.

    Article  PubMed  CAS  Google Scholar 

  • Schiller W (1939) Mesonephroma ovarii. Am J Cancer 35:1.

    Google Scholar 

  • Seppälä M (1982) Ovarian cancer markers. In: Sell S, Wahren B (eds) Human cancer markers. Humana, Clifton, pp 233–257.

    Chapter  Google Scholar 

  • Shirai T, Itoh T, Yoshiki T, Noro T, Tomino Y, Hayasaka T (1976) Immunofluorescent demonstration of alphafetoprotein and other plasma proteins in yolk sac tumor. Cancer 38:1661–1667.

    Article  PubMed  CAS  Google Scholar 

  • Takeuchi T, Nakayasu M, Hirohashi S, Kameya T, Kaneko M, Yokomori K, Tsuchida Y (1979) Human endodermal sinus tumour in nude mice and its markers for diagnosis and management. J Clin Pathol 32:693–699.

    Article  PubMed  CAS  Google Scholar 

  • Talerman A (1985) Germ cell tumours. Ann Pathol 5:145–157.

    PubMed  CAS  Google Scholar 

  • Talerman A (1987) Germ cell tumors of the ovary. In: Kurman R (ed) Blausteins’s pathology of the female genital tract, 3rd edn. Springer, Berlin Heidelberg New York, pp 669–679.

    Google Scholar 

  • Talerman A, Haije WG (1974) Alpha-fetoprotein and germ cell tumors. A possible role of yolk sac tumor in production of alpha-fetoprotein. Cancer 34:1722–1726.

    Article  PubMed  CAS  Google Scholar 

  • Talerman A, van der Pompe WB, Haije WG, Baggerman L, Boekestein-Tjahjadi HM (1977) Alpha-fetoprotein and carcinoembryonic antigen in germ cell neoplasms. Br J Cancer 35:288–291.

    Article  PubMed  CAS  Google Scholar 

  • Talerman A, Haije WG, Baggerman L (1980) Serum alphafetoprotein (AFP) in patients with germ cell tumors of the gonads and extragonadal sites: correlation between endodermal sinus (yolk sac) tumor and raised serum AFP. Cancer 46:380–385.

    Article  PubMed  CAS  Google Scholar 

  • Tanaka S, Fujimoti J, Ishii E, Hata J (1989) Human yolk-sac tumor antigen 2G10: biochemical characterization and significance as a serum antigen. Int J Cancer 44:788–794.

    Article  PubMed  CAS  Google Scholar 

  • Tatarinov JS (1964) Presence of embryonal alpha globulin in the serum of patients with primary hepatocellular carcinoma. Vopr Med Khim 10:90–91.

    PubMed  CAS  Google Scholar 

  • Taylor G, Jordan M, Churchill B, Mancer K (1983) Yolk sac tumor of the bladder. J Urol 129:591–594.

    PubMed  CAS  Google Scholar 

  • Teilum G (1976) Special tumors of the ovary and testis. Comparative histology and identification, 2nd edn. Munksgaard, Copenhagen.

    Google Scholar 

  • Teilum G, Albrechtsen R, Norgaard-Pedersen B (1974) Immunofluorescent localization of alpha-fetoprotein synthesis in endodermal sinus tumor (yolk sac tumor). Acta Pathol Microbiol Scand 89A:586–588.

    Google Scholar 

  • Tsuchida Y, Yamashita K, Kobata A, Nishi S, Endo Y, Saito S (1984) Structure of the sugar chain of alphafetoprotein purified from a human yolk sac tumor and its reactivity with concanavalin A. Tumour Biol 5:33–40.

    PubMed  CAS  Google Scholar 

  • Tsuchida Y, Kaneko M, Saito S, Endo Y (1985) Differences in the structure of alphafetoprotein and its clinical use in pediatric surgery. J Pediatr Surg 20:260–265.

    Article  PubMed  CAS  Google Scholar 

  • Tsuchida Y, Kaneko M, Fukui M, Sakaguchi H, Ishiguro T (1989) Three different types of alpha-fetoprotein in the diagnosis of malignant solid tumors: use of a sensitive lectin-affinity immunoelectrophoresis. J Pediatr Surg 24:350–355.

    Article  PubMed  CAS  Google Scholar 

  • Uriel J, Alpert ME, de Nechaud B (1967) Antigènes embryonnaires et cancer du foie chez l’homme: association de L-alpha-fetoproteine sérique avec l’hepatoma primaire. C R Acad Sci (D) (Paris) 265:75–78.

    CAS  Google Scholar 

  • Van Hove L, Sobis H, Lu YL, Vandeputte M (1985) Rat yolk sac antigen-2 defined by monoclonal antibodies. Int J Cancer 35:237–244.

    Article  PubMed  Google Scholar 

  • Wagener C, Menzel B, Breuer H, Weissbach L, Tschubel K, Henkel K, Gedigk P (1981) Immunohistochemical localization of alpha-fetoprotein (AFP) in germ cell tumours: evidence for AFP production by tissues different from endodermal sinus tumour. Oncology 38:236–239.

    Article  PubMed  CAS  Google Scholar 

  • Wewer U, Albrechtsen R, Ruoslahti E (1981) Laminin, a noncollagenous component of epithelial basement membranes synthesized by a rat yolk sac tumor. Cancer Res 41:1518–1524.

    PubMed  CAS  Google Scholar 

  • Wewer UM, Tichy D, Damjanov A, Paulsson M, Damjanov I (1987) I Distinct antigenic characteristics of murine parietal yolk sac laminin. Dev Biol 121:397–407.

    Article  PubMed  CAS  Google Scholar 

  • Yamashita K, Hitoi A, Tsuchida Y, Nishi S, Kobata A (1983) Sugar chain of alpha-fetoprotein produced in human yolk sac tumor. Cancer Res 43:4691–4695.

    PubMed  CAS  Google Scholar 

  • Zirker TA Silva EG, Morris M, Ordonez NG (1989) Immunohistochemical differentiation of dear-cell carcinoma of the female genital tract and endodermal sinus tumor with the use of alpha-fetoprotein and Leu-M1. Am J Clin Pathol 91:511–514.

    PubMed  CAS  Google Scholar 

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Saksela, E. (1993). Immunohistochemical Markers of Yolk Sac Tumors. In: Nogales, F.F. (eds) The Human Yolk Sac and Yolk Sac Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77852-0_12

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