J Clin Pathol. 2012 Oct 19. [Epub ahead of print]
CD24: a potential new marker in differentiating malignant mesothelioma from pulmonary adenocarcinoma.
Source
Department of Experimental Medicine, Imperial Center for Translational and Experimental Medicine, Imperial College London, London, UK.
Abstract
BACKGROUND:
The differential diagnosis between malignant mesothelioma (MM) and metastatic lung adenocarcinoma (MLA) often relies on immunohistochemical studies, with no individual immunomarker holding satisfactory discrimination ability.
METHODS:
We investigated the diagnostic accuracy of CD24 immunoreactivity on 134 patients including 69 cases of MM and 65 MLA.
RESULTS:
The expression of CD24 favoured MLA, with 57/65 cases showing positive cytoplasmic staining compared with 9/69 MM (p<0.001), whose immunopositivity pattern was prevalently membranous (7/9 cases).
CONCLUSIONS:
CD24 positivity can accurately discriminate MM from MLA. Prospective studies are warranted to clarify whether CD24 could integrate with other immunomarkers to facilitate the diagnosis of mesothelial malignancies.
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