=======IHC Patterns======= ======Undifferentiated====== ^ ^ Cytokeratin ^ EMA ^ LCA ^ S-100 ^ Desmin/vimentin ^ OCT 4/HCG/AFP/PLAP ^ Chromogranin/synaptophysin ^ | Carcinoma | + | + | - | S | - | S | S | | Melanoma | -, R | - | - | + | + | - | - | | Sarcoma | - | S | - | - | + | - | - | | Lymphoma | - | -, R | + | - | - | - | - | | Neuroendocrine carcinoma | + | + | - | - | - | - | + | | Germ cell tumor | -, R | - | - | - | - | + | - | S: sometimes positive \\ R: rarely positive ======Carcinoma====== ^ Tumor type ^ Immunohistochemical staining ^ | Carcinoma | Positive: Pankeratin, AE 1/3, CAM 5.2, OSCAR, EMA \\ Negative: CD 45 \\ Variable: CK 7, CK 20, S-100, vimentin | | Colorectal carcinoma | Positive: CK 20, CDX-2 \\ Negative: CK 7 | | Adenocarcinoma (Lung) | Positive: TTF-1, napsin A, CK 7, mucicarmine, PAS-D \\ Negative: Thyroglobulin | | Squamous cell carcinoma (Lung) | Positive: p 40, p 63, CK 5/6, desmoglein \\ Negative: CK 7 (usually) | | Small-cell carcinoma (Lung) | Positive: TTF-1, high proliferative rate (Ki-67, MIB-1) \\ Variable: Chromogranin, synaptophysin | | Neuroendocrine carcinoma (Lung) | Positive: Chromogranin, synaptophysin, epithelial stains | | Germ cell tumor | Positive: HCG, AFP, Oct4 transcription factor, placental alkaline phosphatase, epithelial stains | | Hepatocellular carcinoma | Positive: Hep par 1, CEA, AFP, glypican 3 \\ Negative: CK 7, CK 20 | | Renal cell carcinoma | Positive: Pan keratin, CAM 5.2, Pax-8, CK 7, vimentin, RCC, CD 10 \\ Negative: CK 20, CEA | | Prostate carcinoma | Positive: PSA, prostatic acid phosphatase \\ Negative: CK 7, 20 | | Pancreas carcinoma | Positive: CA 19-9, CK 7, CDX-2, CK 17 \\ Variable: CK 20 | | Breast carcinoma | Positive: ER, PR, Her-2-neu, CK 7, gross cystic fluid protein 15, epithelial stains, GATA 3, mammaglobin \\ Negative: CK 20 | | Ovarian carcinoma | Positive: CK 7, WT-1, Pax-8, ER \\ Negative: CK 20, CDX-2 | | Thyroid carcinoma | Positive: Thyroglobulin, TTF-1, CK 7 |