WT1 and Cyclin D1 Immunohistochemistry: A Useful Adjunct for Diagnosis of Pediatric Small Round Blue Cell Tumors on Small Biopsies

Diagnostics

Rosalba Parenti¹  Lucia Salvatorelli²  Giada Maria Vecchio²  Lidia Puzzo²  Gaetano Magro²  Giuseppe Angelico²  Giuseppe Broggi²  Rita Alaggio³  Andrea Di Cataldo⁴  Vincenzo Di Benedetto⁵ 

[1] Department of Biomedical and Biotechnological Sciences, Physiology Section, University of Catania, 95123 Catania, Italy;Department of Medical and Surgical Sciences and Advanced Technologies, “G. F. Ingrassia”, Anatomic Pathology, University of Catania, 95123 Catania, Italy;Pathology Unit, Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy;Pediatric Hematology and Oncology Unit, Department of Pediatrics, University of Catania, 95123 Catania, Italy;Pediatric Surgery Unit, Department of Medical and Surgical Sciences and Advanced Technologies, “G. F. Ingrassia”, University of Catania, 95123 Catania, Italy;

关键词: immunohistochemistry;    WT1;    cyclin D1;    small round blue cell tumors;    small biopsy;   

DOI  :  10.3390/diagnostics11122254

来源: DOAJ

【 摘 要 】

Pediatric small round blue cell tumors (SRBCTs) are a heterogeneous group of neoplasms with overlapping morphological appearance. Accordingly, their diagnosis is one of the most difficult in the field of surgical pathology. The most common tumors include rhabdomyosarcoma, Ewing’s sarcoma, neuroblastoma, lymphoblastic lymphoma and Wilms’ tumor (the blastemal component). Over time their diagnosis has become more difficult due to the increasing use of small biopsies. However, the advent of immunohistochemistry has improved the quality of diagnosis in most cases by the application of an adequate panel of immunomarkers. Recently, WT1 and Cyclin D1 have been shown to be useful in the differential diagnosis of SRBCTs on surgically-resected specimens, showing a diffuse cytoplasmic positivity of the former in all RMSs and a diffuse nuclear staining of the latter in both EWS and NB. The aim of the present study was to investigate the expression of WT1 and Cyclin D1 on small biopsies from a series of 105 pediatric SRBCTs to evaluate their diagnostic utility. Both immunomarkers were differentially expressed, with a diffuse and strong cytoplasmic staining for WT1 limited to all cases of RMS, and a diffuse nuclear staining for cyclin D1 restricted to all cases of EWS and NB. Notably, the expression of WT1 and cyclin D1 was also retained in those cases in which the conventional tumor markers (myogenin, desmin and MyoD1 for RMS; CD99 for EWS; NB84 for NB) were focally expressed or more rarely absent. The present study shows that WT1 and Cyclin D1 are helpful immunomarkers exploitable in the differential diagnosis of pediatric SRBCTs on small biopsies, suggesting their applicability in routine practice.

【 授权许可】

Unknown