Table of Contents

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