Abstract
Since its first discovery in 1930, immunohistochemistry (IHC) has become an important staple in all pathology departments. Its usage gained popularity in early 1970 when the “immunoperoxidase” method to produce formalin paraffin-embedded tissues was developed. This ancillary technology has become a routine and essential tool in diagnostic and research laboratories. Application of IHC in medical practice is commonly used in helping to identify the origin of malignancy, predicting prognosis, and helping select targeted therapy. Gynecologic pathology is not an exception. Example and just to name a few, pair box gene 8 (PAX8) has been used to identify the Müllerian origin of a carcinoma while alpha-inhibin and calretinin identifies sex cord tumors. This chapter will describe the principles and the interpretation of IHC and discuss various immunomarkers that are commonly used in gynecologic pathology.
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References
Acs G, Pasha T, Zhang PJ. WT1 is differentially expressed in serous, endometrioid, clear and mucinous carcinomas of the peritoneum, fallopian tube, ovary and endometrium. Int J Gynecol Pathol. 2004;23:110–8.
Baker PM, Oliva E. Immunohistochemistry as a tool in the differential diagnosis of ovarian tumors: an update. Int J Gynecol Pathol. 2004;24:39–55.
Chu P, Wu E, Weiss LM. Cytokeratin 7 and cytokeratin 20 expression in epithelial neoplasms; a survey of 435 cases. Mod Pathol. 2000;13:962–72.
Deavers MT, Malpica A, Liu J, Broaddus R, Silva EG. Ovarian sex cord-stromal tumors: an immunohistochemical study including a comparison of calretinin and inhibin. Mod Pathol. 2003;16:584–90.
Hwang H, Matsuo K, Duncan K, Pakzamir E, Pham HQ, Correa A, Fedenko A, Mhawech-Fauceglia P. Immunohistochemical panel to differentiate endometrial stromal sarcoma, uterine leiomyosarcoma and leiomyoma: something old and something new. J Clin Pathol. 2015;9:710–7.
Jones MW, Harri R, Dabbs DJ, Carter GJ. Immunohistochemical profile of steroid cell tumor of the ovary; a study of 14 cases and a review of the literature. Int J Gynecol Pathol. 2010;29:315–20.
Kobel M, Kalloger SE, Boyd N, McKinney S, Mehi E, Palmer C, Leung S, Bowen NJ, Ionescu DN, Rajput A, Prentice LM, Miller D, Santos J, Swenerton K, Gilks CB, Huntsman D. Ovarian carcinoma subtypes are different diseases: implications for biomarker studies. PLoS One. 2008;5:e232.
McCluggage WG, Young RH. Immunohistochemistry as a diagnostic aid in the evaluation of ovarian tumors. Semin Diagn Pathol. 2005;22:3–32.
Mhawech-Fauceglia P, Herrmann F, Bshara W, Zhang S, Penetrante R, Lele S, Odunsi K, Rodabaugh K. Intraobserver and interobserver variability in distinguishing between endocervical and endometrial adenocarcinoma on problematic cases of cervical curettings. Int J Gynecol Pathol. 2008;27:431–6.
Mhawech-Fauceglia P, Herrmann FR, Rai H, Tchabo N, Lele S, Izevbaye I, Odunsi K, Cheney RT. IMP3 distinguishes uterine serous carcinoma from endometrial endometrioid adenocarcinoma. Am J Clin Pathol. 2010;133:899–908.
Mhawech-Fauceglia P, Yan L, Liu S, Pejovic T. ER+/PR+/TTF3+/IMP3- immunoprofile distinguishes endometrioid from serous and clear cell carcinomas of the endometrium: a study of 401 cases. Histopathology. 2013;62(7):976–85.
Moritani S, Ichihara S, Hasegawa M, Endo T, Oiwa M, Yoshikawa K, Sato Y, Aoyama H, Hayashi T, Kushima R. Serous papillary adenocarcinoma of the female genital organs and invasive micropapillary carcinoma of the breast. Are WT1, CA125, and GCDFP-15 useful in differential diagnosis? Hum Pathol. 2008;39:666–71.
Ozcan A, Shen SS, Hamilton C, Anjana K, Coffey D, Krishnan B, Truong LD. PAX8 expression in non-neoplastic tissues, primary tumors, and metastatic tumors: a comprehensive immunohistochemical study. Mod Pathol. 2011;24:751–64.
Reid-Nicholson M, Iyengar P, Hummer AJ, Linkov I, Asher M, Soslow RA. Immunophenotypic diversity of endometrial adenocarcinomas: implications for differential diagnosis. Mod Pathol. 2006;19:1091–100.
Zheng W, Yi X, Fadare O, Liang SX, Martel M, Schwartz PE, Jiang Z. The oncofetal protein IMP3. A novel biomarker for endometrial serous carcinoma. Am J Surg Pathol. 2008;32:304–15.
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Wang, Y., Mhawech-Fauceglia, P. (2023). Immunohistochemistry of Gynecologic Malignancies. In: Shoupe, D. (eds) Handbook of Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-031-14881-1_65
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DOI: https://doi.org/10.1007/978-3-031-14881-1_65
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